Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.79 / $332.22 / $1,576.00	Professional		$243.79	$332.22	$1,576.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $362.03	Professional		$264.27	$264.27	$362.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.36 / $1,058.92 / $1,381.11	Professional		$382.36	$1,058.92	$1,381.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $332.22 / $455.14 / $546.23	Facility		$332.22	$455.14	$546.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $406.14 / $513.46 / $573.54	Professional		$406.14	$513.46	$573.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $433.59 / $546.23 / $600.85	Facility		$433.59	$546.23	$600.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $433.93 / $546.23 / $565.79	Professional		$433.93	$546.23	$565.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $332.22 / $469.14 / $573.54	Facility		$332.22	$469.14	$573.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $478.30 / $600.85	Professional		$264.27	$478.30	$600.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $455.09 / $908.36 / $1,916.36	Facility		$455.09	$908.36	$1,916.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $469.76 / $600.85 / $600.85	Professional		$469.76	$600.85	$600.85
United Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $249.43 / $475.87	Professional		$238.30	$249.43	$475.87