Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.34 / $1,296.34 / $1,296.34	Professional		$1,296.34	$1,296.34	$1,296.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.73 / $1,108.73 / $1,982.40	Facility		$1,108.73	$1,108.73	$1,982.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.83 / $545.83 / $545.83	Professional		$545.83	$545.83	$545.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $1,497.85 / $1,794.91	Professional		$682.29	$1,497.85	$1,794.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.72 / $661.82 / $1,501.04	Facility		$511.72	$661.82	$1,501.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $682.29 / $921.09	Professional		$682.29	$682.29	$921.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.29 / $764.16 / $1,194.01	Facility		$682.29	$764.16	$1,194.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.82 / $904.03 / $1,662.49	Facility		$661.82	$904.03	$1,662.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $750.52 / $750.52 / $955.21	Professional		$750.52	$750.52	$955.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,364.58 / $2,076.21 / $2,678.60	Facility		$1,364.58	$2,076.21	$2,678.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,090.04 / $1,341.95 / $2,145.46	Professional		$1,090.04	$1,341.95	$2,145.46
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $286.56 / $716.40	Professional		$286.56	$286.56	$716.40