Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.39 / $610.63 / $741.08	Professional		$485.39	$610.63	$741.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.22 / $955.64 / $1,484.41	Professional		$541.22	$955.64	$1,484.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $907.82 / $1,178.91 / $1,411.22	Professional		$907.82	$1,178.91	$1,411.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $546.11 / $782.10 / $1,308.24	Facility		$546.11	$782.10	$1,308.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $314.70 / $988.14	Professional		$314.70	$314.70	$988.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $735.24 / $1,100.84 / $1,119.57	Facility		$735.24	$1,100.84	$1,119.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.11 / $755.95 / $1,210.69	Facility		$546.11	$755.95	$1,210.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.92 / $1,069.80 / $1,520.72	Professional		$580.92	$1,069.80	$1,520.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $865.92 / $1,158.65 / $1,521.38	Professional		$865.92	$1,158.65	$1,521.38
United Facility/Professional Professional Modifier Low / Median / High Price $549.27 / $751.94 / $1,147.85	Professional		$549.27	$751.94	$1,147.85