Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.10 / $422.17 / $1,658.94	Professional		$249.10	$422.17	$1,658.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.49 / $444.49 / $444.49	Facility		$444.49	$444.49	$444.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $324.48 / $444.49	Professional		$324.48	$324.48	$444.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $1,218.03 / $1,588.60	Professional		$485.90	$1,218.03	$1,588.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.17 / $578.37 / $694.14	Facility		$422.17	$578.37	$694.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $516.14 / $652.49 / $694.14	Professional		$516.14	$652.49	$694.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.01 / $694.14 / $766.63	Facility		$551.01	$694.14	$766.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $624.73 / $694.14 / $766.63	Professional		$624.73	$694.14	$766.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.10 / $591.71 / $728.85	Facility		$413.10	$591.71	$728.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $607.80 / $763.55	Professional		$324.48	$607.80	$763.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $578.32 / $1,154.33 / $2,435.25	Facility		$578.32	$1,154.33	$2,435.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $596.96 / $763.55 / $763.55	Professional		$596.96	$763.55	$763.55
United Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $108.00 / $108.00	Facility		$108.00	$108.00	$108.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.06 / $286.85 / $547.27	Professional		$274.06	$286.85	$547.27