Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.72 / $445.14 / $2,111.69	Professional		$278.72	$445.14	$2,111.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $394.91	Professional		$288.27	$288.27	$394.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.33 / $1,338.77 / $1,746.06	Professional		$512.33	$1,338.77	$1,746.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $445.14 / $609.84 / $731.90	Facility		$445.14	$609.84	$731.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.21 / $687.99 / $768.50	Professional		$544.21	$687.99	$768.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $580.98 / $710.73 / $781.80	Facility		$580.98	$710.73	$781.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $658.71 / $731.90 / $731.90	Professional		$658.71	$731.90	$731.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $632.39 / $768.50	Facility		$394.91	$632.39	$768.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $640.88 / $805.09	Professional		$288.27	$640.88	$805.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $609.78 / $1,217.11 / $2,567.75	Facility		$609.78	$1,217.11	$2,567.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $629.42 / $805.09 / $805.09	Professional		$629.42	$805.09	$805.09
United Facility/Professional Professional Modifier Low / Median / High Price $301.24 / $315.29 / $601.54	Professional		$301.24	$315.29	$601.54