Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.01 / $429.44 / $556.05	Professional		$362.01	$429.44	$556.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.79 / $721.94 / $1,113.07	Professional		$411.79	$721.94	$1,113.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $680.82 / $884.12 / $1,058.34	Professional		$680.82	$884.12	$1,058.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.79 / $566.92 / $933.98	Facility		$421.79	$566.92	$933.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $548.54 / $548.54 / $740.95	Professional		$548.54	$548.54	$740.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.15 / $825.58 / $839.51	Facility		$689.15	$825.58	$839.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.50 / $566.92 / $933.98	Facility		$415.50	$566.92	$933.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.86 / $802.61 / $1,140.46	Professional		$435.86	$802.61	$1,140.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.44 / $869.83 / $1,141.04	Professional		$649.44	$869.83	$1,141.04
United Facility/Professional Professional Modifier Low / Median / High Price $498.24 / $698.99 / $1,077.64	Professional		$498.24	$698.99	$1,077.64