Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $403.66 / $1,989.59	Professional		$227.73	$403.66	$1,989.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $364.44	Professional		$266.04	$266.04	$364.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.59 / $1,095.15 / $1,428.36	Professional		$464.59	$1,095.15	$1,428.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.99 / $530.89 / $663.70	Facility		$390.99	$530.89	$663.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $493.49 / $623.88 / $696.89	Professional		$493.49	$623.88	$696.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.06 / $571.41 / $663.70	Facility		$505.06	$571.41	$663.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $517.17 / $663.70 / $663.70	Professional		$517.17	$663.70	$663.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.52 / $553.01 / $696.89	Facility		$332.52	$553.01	$696.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $581.16 / $730.07	Professional		$266.04	$581.16	$730.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $552.96 / $1,103.72 / $2,328.48	Facility		$552.96	$1,103.72	$2,328.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $570.78 / $730.07 / $730.07	Professional		$570.78	$730.07	$730.07
United Facility/Professional Professional Modifier Low / Median / High Price $246.51 / $258.02 / $494.53	Professional		$246.51	$258.02	$494.53