Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $321.56 / $1,518.44	Professional		$228.04	$321.56	$1,518.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $420.61	Professional		$357.52	$357.52	$420.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.09 / $1,002.83 / $1,307.94	Professional		$370.09	$1,002.83	$1,307.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.56 / $440.54 / $528.70	Facility		$321.56	$440.54	$528.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $393.11 / $475.83 / $528.70	Professional		$393.11	$475.83	$528.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.83 / $525.58 / $581.57	Facility		$475.83	$525.58	$581.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $528.70 / $528.70 / $528.70	Professional		$528.70	$528.70	$528.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.98 / $424.35 / $528.70	Facility		$315.98	$424.35	$528.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $462.95 / $581.57	Professional		$357.52	$462.95	$581.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.97 / $581.57 / $581.57	Professional		$459.97	$581.57	$581.57
United Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $236.12 / $450.49	Professional		$225.59	$236.12	$450.49