Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.99 / $532.04 / $3,365.28	Professional		$378.99	$532.04	$3,365.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.11 / $673.11 / $673.11	Facility		$673.11	$673.11	$673.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $491.37 / $673.11	Professional		$491.37	$491.37	$673.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.35 / $1,852.96 / $2,416.69	Professional		$612.35	$1,852.96	$2,416.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.04 / $736.49 / $898.43	Facility		$532.04	$736.49	$898.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.44 / $831.04 / $918.52	Professional		$650.44	$831.04	$918.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.39 / $874.78 / $1,166.36	Facility		$694.39	$874.78	$1,166.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $874.78 / $874.78 / $1,166.36	Professional		$874.78	$874.78	$1,166.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.04 / $765.98 / $918.52	Facility		$532.04	$765.98	$918.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $491.37 / $765.98 / $962.26	Professional		$491.37	$765.98	$962.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $728.82 / $1,454.72 / $3,068.98	Facility		$728.82	$1,454.72	$3,068.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $752.31 / $962.26 / $962.26	Professional		$752.31	$962.26	$962.26
United Facility/Professional Professional Modifier Low / Median / High Price $416.96 / $436.42 / $832.63	Professional		$416.96	$436.42	$832.63