Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.24 / $532.39 / $3,367.46	Professional		$379.24	$532.39	$3,367.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $612.94	Facility		$612.94	$612.94	$612.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $447.45 / $612.94	Professional		$447.45	$447.45	$612.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.75 / $1,854.37 / $2,418.57	Professional		$612.75	$1,854.37	$2,418.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $729.37 / $898.43	Facility		$532.39	$729.37	$898.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $650.85 / $822.84 / $919.13	Professional		$650.85	$822.84	$919.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.84 / $875.36 / $1,133.84	Facility		$694.84	$875.36	$1,133.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $744.06 / $875.36 / $1,133.84	Professional		$744.06	$875.36	$1,133.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.39 / $766.49 / $919.13	Facility		$532.39	$766.49	$919.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $766.49 / $962.90	Professional		$447.45	$766.49	$962.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $729.30 / $1,455.68 / $3,071.02	Facility		$729.30	$1,455.68	$3,071.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $752.81 / $962.90 / $962.90	Professional		$752.81	$962.90	$962.90
United Facility/Professional Facility Modifier Low / Median / High Price $577.08 / $577.08 / $577.08	Facility		$577.08	$577.08	$577.08
United Facility/Professional Professional Modifier Low / Median / High Price $417.23 / $436.70 / $833.18	Professional		$417.23	$436.70	$833.18