Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.79 / $408.22 / $2,582.13	Professional		$290.79	$408.22	$2,582.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $419.41 / $419.41	Facility		$419.41	$419.41	$419.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $306.17 / $419.41	Professional		$306.17	$306.17	$419.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.85 / $1,421.85 / $1,854.46	Professional		$469.85	$1,421.85	$1,854.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $408.22 / $559.26 / $689.04	Facility		$408.22	$559.26	$689.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.07 / $630.94 / $671.21	Professional		$499.07	$630.94	$671.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.79 / $671.21 / $839.80	Facility		$532.79	$671.21	$839.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $604.09 / $671.21 / $839.80	Professional		$604.09	$671.21	$839.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $408.22 / $587.73 / $704.77	Facility		$408.22	$587.73	$704.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $587.73 / $738.33	Professional		$306.17	$587.73	$738.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $559.21 / $1,116.20 / $2,354.80	Facility		$559.21	$1,116.20	$2,354.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $577.24 / $738.33 / $738.33	Professional		$577.24	$738.33	$738.33
United Facility/Professional Professional Modifier Low / Median / High Price $319.93 / $334.86 / $638.87	Professional		$319.93	$334.86	$638.87