Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.39 / $449.56 / $2,455.71	Professional		$311.39	$449.56	$2,455.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $412.94	Facility		$412.94	$412.94	$412.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $412.94	Professional		$301.45	$301.45	$412.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.41 / $1,352.26 / $1,763.67	Professional		$517.41	$1,352.26	$1,763.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $449.56 / $615.90 / $739.16	Facility		$449.56	$615.90	$739.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $694.81 / $776.12	Professional		$549.60	$694.81	$776.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.74 / $665.24 / $739.16	Facility		$586.74	$665.24	$739.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $628.29 / $665.24 / $739.16	Professional		$628.29	$665.24	$739.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $383.78 / $634.85 / $776.12	Facility		$383.78	$634.85	$776.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $647.24 / $813.08	Professional		$301.45	$647.24	$813.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $615.83 / $1,229.20 / $2,593.23	Facility		$615.83	$1,229.20	$2,593.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $635.67 / $813.08 / $813.08	Professional		$635.67	$813.08	$813.08
United Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $318.47 / $607.59	Professional		$304.27	$318.47	$607.59