Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $449.64 / $2,410.98	Professional		$271.77	$449.64	$2,410.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $342.13 / $468.67	Professional		$342.13	$342.13	$468.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.52 / $1,327.39 / $1,731.27	Professional		$517.52	$1,327.39	$1,731.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.64 / $616.01 / $739.31	Facility		$449.64	$616.01	$739.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.71 / $694.95 / $776.28	Professional		$549.71	$694.95	$776.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.85 / $665.38 / $739.31	Facility		$586.85	$665.38	$739.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $626.72 / $739.31 / $739.31	Professional		$626.72	$739.31	$739.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.57 / $634.97 / $776.28	Facility		$435.57	$634.97	$776.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $647.36 / $813.24	Professional		$342.13	$647.36	$813.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $615.95 / $1,229.44 / $2,593.71	Facility		$615.95	$1,229.44	$2,593.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $635.80 / $813.24 / $813.24	Professional		$635.80	$813.24	$813.24
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $294.31 / $312.66 / $596.52	Professional		$294.31	$312.66	$596.52