Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $213.80 / $501.19	Professional		$36.31	$213.80	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $1,071.52	Professional		$323.59	$416.87	$1,071.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $457.09	Facility		$52.48	$66.07	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $83.18 / $501.19	Professional		$36.31	$83.18	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $1,288.25	Facility		$457.09	$602.56	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $173.78 / $630.96	Facility		$36.31	$173.78	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,174.90 / $1,698.24	Professional		$457.09	$1,174.90	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $933.25	Professional		$83.18	$123.03	$933.25