Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $405.85 / $2,248.00	Professional		$253.16	$405.85	$2,248.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $483.85 / $483.85	Facility		$483.85	$483.85	$483.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $353.21 / $483.85	Professional		$353.21	$353.21	$483.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.10 / $1,237.91 / $1,614.54	Professional		$467.10	$1,237.91	$1,614.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.85 / $556.01 / $667.29	Facility		$405.85	$556.01	$667.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $496.17 / $627.25 / $700.65	Professional		$496.17	$627.25	$700.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.70 / $648.79 / $713.67	Facility		$529.70	$648.79	$713.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $600.55 / $667.29 / $713.67	Professional		$600.55	$667.29	$713.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.85 / $575.10 / $700.65	Facility		$405.85	$575.10	$700.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.21 / $584.30 / $734.02	Professional		$353.21	$584.30	$734.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.96 / $1,109.70 / $2,341.10	Facility		$555.96	$1,109.70	$2,341.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $573.87 / $734.02 / $734.02	Professional		$573.87	$734.02	$734.02
United Facility/Professional Facility Modifier Low / Median / High Price $389.42 / $389.42 / $389.42	Facility		$389.42	$389.42	$389.42
United Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $291.52 / $556.19	Professional		$278.52	$291.52	$556.19