Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.06 / $559.39 / $1,166.52	Professional		$449.06	$559.39	$1,166.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.36 / $904.61 / $1,351.73	Professional		$508.36	$904.61	$1,351.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.95 / $1,077.00 / $1,300.76	Professional		$832.95	$1,077.00	$1,300.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.30 / $796.39 / $1,221.13	Facility		$512.30	$796.39	$1,221.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $858.00 / $1,276.70	Professional		$712.50	$858.00	$1,276.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $651.65 / $905.84 / $1,033.81	Facility		$651.65	$905.84	$1,033.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.70 / $826.26 / $1,318.04	Facility		$509.70	$826.26	$1,318.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $766.80 / $1,048.88 / $1,353.51	Professional		$766.80	$1,048.88	$1,353.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $846.86 / $1,098.24 / $1,401.90	Professional		$846.86	$1,098.24	$1,401.90
United Facility/Professional Professional Modifier Low / Median / High Price $640.10 / $910.43 / $1,384.44	Professional		$640.10	$910.43	$1,384.44