Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $326.39 / $399.32	Professional		$112.50	$326.39	$399.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.96 / $643.23 / $860.12	Professional		$355.96	$643.23	$860.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.46 / $671.13 / $798.16	Professional		$570.46	$671.13	$798.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.40 / $383.10 / $704.90	Facility		$223.40	$383.10	$704.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $127.35 / $181.01	Professional		$53.66	$127.35	$181.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.80 / $622.62 / $633.15	Facility		$415.80	$622.62	$633.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.32 / $383.10 / $724.63	Facility		$256.32	$383.10	$724.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $387.13 / $700.27 / $929.29	Professional		$387.13	$700.27	$929.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,730.68 / $2,008.78	Facility		$1,318.75	$1,730.68	$2,008.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $377.82 / $633.91 / $872.33	Professional		$377.82	$633.91	$872.33
United Facility/Professional Professional Modifier Low / Median / High Price $392.49 / $560.71 / $863.80	Professional		$392.49	$560.71	$863.80