Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $452.57 / $1,933.69	Professional		$325.36	$452.57	$1,933.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $418.79 / $418.79	Facility		$418.79	$418.79	$418.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $305.72 / $418.79	Professional		$305.72	$305.72	$418.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.89 / $1,419.71 / $1,851.68	Professional		$520.89	$1,419.71	$1,851.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.57 / $620.02 / $744.13	Facility		$452.57	$620.02	$744.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $553.27 / $699.48 / $781.34	Professional		$553.27	$699.48	$781.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.65 / $684.99 / $753.49	Facility		$590.65	$684.99	$753.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $634.14 / $684.99 / $744.13	Professional		$634.14	$684.99	$744.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $647.17 / $781.34	Facility		$418.79	$647.17	$781.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $651.58 / $818.54	Professional		$305.72	$651.58	$818.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $619.96 / $1,237.44 / $2,610.62	Facility		$619.96	$1,237.44	$2,610.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $639.95 / $818.54 / $818.54	Professional		$639.95	$818.54	$818.54
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $334.36 / $637.91	Professional		$319.45	$334.36	$637.91