Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.26 / $398.32 / $1,889.59	Professional		$292.26	$398.32	$1,889.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $434.07	Professional		$316.87	$316.87	$434.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.44 / $1,269.86 / $1,656.23	Professional		$458.44	$1,269.86	$1,656.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.32 / $558.25 / $654.91	Facility		$398.32	$558.25	$654.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $486.95 / $615.62 / $687.67	Professional		$486.95	$615.62	$687.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $519.85 / $654.91 / $720.41	Facility		$519.85	$654.91	$720.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $589.42 / $654.91 / $678.36	Professional		$589.42	$654.91	$678.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.32 / $573.47 / $687.67	Facility		$398.32	$573.47	$687.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $573.47 / $720.41	Professional		$316.87	$573.47	$720.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $545.64 / $1,089.09 / $2,297.66	Facility		$545.64	$1,089.09	$2,297.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $563.23 / $720.41 / $720.41	Professional		$563.23	$720.41	$720.41
United Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $299.04 / $570.53	Professional		$285.70	$299.04	$570.53