Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $370.37 / $1,893.13	Professional		$228.60	$370.37	$1,893.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $402.09	Facility		$402.09	$402.09	$402.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $293.52 / $402.09	Professional		$293.52	$293.52	$402.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.27 / $1,117.89 / $1,457.98	Professional		$426.27	$1,117.89	$1,457.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $507.41 / $608.95	Facility		$370.37	$507.41	$608.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $572.41 / $639.40	Professional		$452.79	$572.41	$639.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $483.38 / $594.67 / $667.48	Facility		$483.38	$594.67	$667.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $578.50 / $608.95 / $608.95	Professional		$578.50	$608.95	$608.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $523.02 / $639.40	Facility		$370.37	$523.02	$639.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.52 / $533.22 / $669.85	Professional		$293.52	$533.22	$669.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $507.35 / $1,012.68 / $2,136.40	Facility		$507.35	$1,012.68	$2,136.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.70 / $669.85 / $669.85	Professional		$523.70	$669.85	$669.85
United Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $260.00 / $260.00	Facility		$260.00	$260.00	$260.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $263.24 / $502.23	Professional		$251.50	$263.24	$502.23