Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.61 / $557.83 / $2,669.33	Professional		$300.61	$557.83	$2,669.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $500.58 / $500.58	Facility		$500.58	$500.58	$500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $365.42 / $500.58	Professional		$365.42	$365.42	$500.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.03 / $1,469.44 / $1,916.51	Professional		$642.03	$1,469.44	$1,916.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $557.83 / $714.02 / $917.19	Facility		$557.83	$714.02	$917.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $681.96 / $862.16 / $963.05	Professional		$681.96	$862.16	$963.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.04 / $903.48 / $1,008.91	Facility		$728.04	$903.48	$1,008.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $825.47 / $917.19 / $1,008.91	Professional		$825.47	$917.19	$1,008.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $465.22 / $773.83 / $963.05	Facility		$465.22	$773.83	$963.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $803.12 / $1,008.91	Professional		$365.42	$803.12	$1,008.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $764.15 / $1,525.24 / $3,217.78	Facility		$764.15	$1,525.24	$3,217.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $788.78 / $1,008.91 / $1,008.91	Professional		$788.78	$1,008.91	$1,008.91
United Facility/Professional Professional Modifier Low / Median / High Price $330.73 / $346.16 / $660.44	Professional		$330.73	$346.16	$660.44