Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.58 / $537.78 / $1,235.70	Professional		$411.58	$537.78	$1,235.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.89 / $850.04 / $1,295.84	Professional		$475.89	$850.04	$1,295.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $803.75 / $1,039.36 / $1,255.17	Professional		$803.75	$1,039.36	$1,255.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.41 / $768.17 / $1,138.24	Facility		$494.41	$768.17	$1,138.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $678.02 / $804.70 / $1,232.66	Professional		$678.02	$804.70	$1,232.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $603.67 / $832.81 / $994.28	Facility		$603.67	$832.81	$994.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.56 / $779.72 / $1,265.70	Facility		$491.56	$779.72	$1,265.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $727.91 / $995.63 / $1,305.92	Professional		$727.91	$995.63	$1,305.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $778.59 / $1,036.07 / $1,353.56	Professional		$778.59	$1,036.07	$1,353.56
United Facility/Professional Professional Modifier Low / Median / High Price $571.78 / $832.80 / $1,284.75	Professional		$571.78	$832.80	$1,284.75