Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.94 / $421.06 / $2,020.34	Professional		$299.94	$421.06	$2,020.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $432.60	Professional		$315.80	$315.80	$432.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.62 / $1,466.59 / $1,912.80	Professional		$484.62	$1,466.59	$1,912.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.06 / $576.85 / $710.57	Facility		$421.06	$576.85	$710.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $514.77 / $650.77 / $726.93	Professional		$514.77	$650.77	$726.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $692.31 / $923.09	Facility		$549.54	$692.31	$923.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $623.08 / $692.31 / $923.09	Professional		$623.08	$692.31	$923.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.22 / $606.21 / $726.93	Facility		$416.22	$606.21	$726.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $606.21 / $761.54	Professional		$315.80	$606.21	$761.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $1,151.30 / $2,428.84	Facility		$576.79	$1,151.30	$2,428.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $595.39 / $761.54 / $761.54	Professional		$595.39	$761.54	$761.54
United Facility/Professional Facility Modifier Low / Median / High Price $456.41 / $456.41 / $456.41	Facility		$456.41	$456.41	$456.41
United Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $345.39 / $658.95	Professional		$329.99	$345.39	$658.95