Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.37 / $626.86 / $779.44	Professional		$623.37	$626.86	$779.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,976.78 / $1,976.78 / $1,976.78	Facility		$1,976.78	$1,976.78	$1,976.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,308.20 / $1,495.09 / $1,903.29	Professional		$1,308.20	$1,495.09	$1,903.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.77 / $1,067.83 / $1,675.80	Facility		$599.77	$1,067.83	$1,675.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.73 / $599.77 / $798.08	Facility		$379.73	$599.77	$798.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $596.57 / $1,067.83 / $1,675.80	Facility		$596.57	$1,067.83	$1,675.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.45 / $719.72 / $1,441.97	Professional		$229.45	$719.72	$1,441.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,968.78 / $2,583.76 / $3,059.38	Facility		$1,968.78	$2,583.76	$3,059.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,094.97 / $1,527.23 / $1,820.15	Professional		$1,094.97	$1,527.23	$1,820.15
United Facility/Professional Professional Modifier Low / Median / High Price $705.28 / $820.59 / $1,883.00	Professional		$705.28	$820.59	$1,883.00