Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $455.26 / $1,846.21	Professional		$260.83	$455.26	$1,846.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $523.97 / $1,275.55 / $1,663.63	Professional		$523.97	$1,275.55	$1,663.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.26 / $618.50 / $748.53	Facility		$455.26	$618.50	$748.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $556.57 / $703.62 / $785.96	Professional		$556.57	$703.62	$785.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.17 / $748.53 / $823.38	Facility		$594.17	$748.53	$823.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $673.68 / $748.53 / $802.74	Professional		$673.68	$748.53	$802.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.02 / $634.12 / $785.96	Facility		$375.02	$634.12	$785.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $655.45 / $823.38	Professional		$278.88	$655.45	$823.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $623.64 / $1,244.80 / $2,626.13	Facility		$623.64	$1,244.80	$2,626.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $643.74 / $823.38 / $823.38	Professional		$643.74	$823.38	$823.38
United Facility/Professional Professional Modifier Low / Median / High Price $286.97 / $300.36 / $573.04	Professional		$286.97	$300.36	$573.04