Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $387.32 / $1,837.43	Professional		$275.89	$387.32	$1,837.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $397.94	Facility		$397.94	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $397.94	Professional		$290.50	$290.50	$397.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.79 / $1,348.70 / $1,759.05	Professional		$445.79	$1,348.70	$1,759.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.32 / $530.63 / $654.14	Facility		$387.32	$530.63	$654.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.52 / $573.16 / $668.68	Professional		$473.52	$573.16	$668.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.50 / $636.84 / $843.27	Facility		$505.50	$636.84	$843.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $573.16 / $636.84 / $843.27	Professional		$573.16	$636.84	$843.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $382.86 / $557.64 / $668.68	Facility		$382.86	$557.64	$668.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $557.64 / $700.52	Professional		$290.50	$557.64	$700.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $530.58 / $1,059.04 / $2,234.23	Facility		$530.58	$1,059.04	$2,234.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $700.52 / $700.52	Professional		$547.67	$700.52	$700.52
United Facility/Professional Professional Modifier Low / Median / High Price $303.55 / $317.70 / $606.16	Professional		$303.55	$317.70	$606.16