Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.97 / $926.97 / $1,110.61	Professional		$926.97	$926.97	$1,110.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.83 / $1,893.18 / $2,438.98	Professional		$1,516.83	$1,893.18	$2,438.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.06 / $1,274.63 / $2,740.45	Facility		$740.06	$1,274.63	$2,740.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.28 / $7,317.68 / $10,708.82	Facility		$668.28	$7,317.68	$10,708.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.45 / $1,274.63 / $2,740.45	Facility		$703.45	$1,274.63	$2,740.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.05 / $888.07 / $1,500.79	Professional		$666.05	$888.07	$1,500.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,546.78 / $27,709.28 / $34,486.44	Facility		$18,546.78	$27,709.28	$34,486.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,529.74 / $2,477.09 / $3,010.89	Professional		$1,529.74	$2,477.09	$3,010.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,723.28 / $2,187.23 / $2,949.46	Professional		$1,723.28	$2,187.23	$2,949.46