Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $380.39 / $1,644.88	Professional		$207.20	$380.39	$1,644.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $298.85	Professional		$218.16	$218.16	$298.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.82 / $1,012.76 / $1,320.90	Professional		$437.82	$1,012.76	$1,320.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.39 / $503.81 / $625.45	Facility		$380.39	$503.81	$625.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.04 / $587.91 / $656.72	Professional		$465.04	$587.91	$656.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.06 / $610.79 / $688.00	Facility		$467.06	$610.79	$688.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $496.86 / $496.86 / $496.86	Professional		$496.86	$496.86	$496.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $313.35 / $533.14 / $656.72	Facility		$313.35	$533.14	$656.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $547.66 / $688.00	Professional		$218.16	$547.66	$688.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $521.08 / $1,040.08 / $2,194.25	Facility		$521.08	$1,040.08	$2,194.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.89 / $688.00 / $688.00	Professional		$537.89	$688.00	$688.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.96 / $238.60 / $455.23	Professional		$227.96	$238.60	$455.23