Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.11 / $491.68 / $2,125.23	Professional		$279.11	$491.68	$2,125.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.56 / $402.56 / $402.56	Facility		$402.56	$402.56	$402.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $293.87 / $402.56	Professional		$293.87	$293.87	$402.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.90 / $1,364.33 / $1,779.43	Professional		$565.90	$1,364.33	$1,779.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $491.68 / $673.60 / $808.43	Facility		$491.68	$673.60	$808.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $601.08 / $759.92 / $848.85	Professional		$601.08	$759.92	$848.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.15 / $789.48 / $889.27	Facility		$629.15	$789.48	$889.27
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $642.21 / $642.21 / $642.21	Professional		$642.21	$642.21	$642.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.02 / $689.11 / $848.85	Facility		$405.02	$689.11	$848.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.87 / $707.88 / $889.27	Professional		$293.87	$707.88	$889.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $673.53 / $1,344.38 / $2,836.19	Facility		$673.53	$1,344.38	$2,836.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $889.27 / $889.27	Professional		$695.25	$889.27	$889.27
United Facility/Professional Professional Modifier Low / Median / High Price $302.54 / $321.41 / $613.20	Professional		$302.54	$321.41	$613.20