Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $707.95	Professional		$478.63	$549.54	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,023.29 / $1,479.11	Professional		$524.81	$1,023.29	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,479.11	Professional		$977.24	$1,230.27	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $1,174.90	Facility		$501.19	$707.95	$1,174.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $724.44	Professional		$478.63	$562.34	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,122.02	Facility		$776.25	$1,096.48	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $1,148.15	Facility		$489.78	$691.83	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $575.44 / $1,479.11	Professional		$79.43	$575.44	$1,479.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,479.11	Professional		$891.25	$1,148.15	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,122.02	Professional		$537.03	$758.58	$1,122.02