Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $1,196.80 / $1,428.11	Professional		$282.82	$1,196.80	$1,428.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $2,565.44	Facility		$334.42	$334.42	$2,565.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $471.64 / $1,013.41	Professional		$471.64	$471.64	$1,013.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $588.62 / $659.36	Professional		$540.82	$588.62	$659.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $1,000.64 / $1,956.51	Facility		$57.23	$1,000.64	$1,956.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.65 / $41.65 / $41.65	Professional		$41.65	$41.65	$41.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $289.24 / $970.46	Facility		$154.19	$289.24	$970.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $1,100.23 / $2,042.20	Facility		$57.23	$1,100.23	$2,042.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $324.64 / $506.17	Professional		$43.07	$324.64	$506.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,592.87 / $3,247.95 / $3,950.94	Facility		$2,592.87	$3,247.95	$3,950.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.18 / $649.38 / $848.96	Professional		$485.18	$649.38	$848.96
United Facility/Professional Professional Modifier Low / Median / High Price $950.55 / $1,235.71 / $2,718.15	Professional		$950.55	$1,235.71	$2,718.15