Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.21 / $1,128.68 / $1,428.11	Professional		$359.21	$1,128.68	$1,428.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $1,066.33 / $2,565.44	Facility		$419.80	$1,066.33	$2,565.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $592.04 / $1,755.54	Professional		$592.04	$592.04	$1,755.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.84 / $881.29 / $1,019.58	Professional		$741.84	$881.29	$1,019.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $1,100.23 / $1,956.51	Facility		$178.14	$1,100.23	$1,956.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $131.61 / $131.61	Professional		$131.61	$131.61	$131.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $500.36 / $1,020.87	Facility		$201.70	$500.36	$1,020.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $1,100.23 / $2,042.20	Facility		$178.14	$1,100.23	$2,042.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $411.16 / $668.13	Professional		$133.30	$411.16	$668.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $715.70 / $2,892.37 / $3,829.94	Facility		$715.70	$2,892.37	$3,829.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $609.19 / $832.95 / $1,065.94	Professional		$609.19	$832.95	$1,065.94
United Facility/Professional Professional Modifier Low / Median / High Price $403.01 / $504.06 / $1,161.01	Professional		$403.01	$504.06	$1,161.01