Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.80 / $568.80 / $568.80	Professional		$568.80	$568.80	$568.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.00 / $1,033.08 / $1,496.05	Professional		$661.00	$1,033.08	$1,496.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.16 / $992.67 / $1,150.46	Professional		$813.16	$992.67	$1,150.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $568.80 / $849.40 / $1,222.94	Facility		$568.80	$849.40	$1,222.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,087.06 / $17,150.38 / $18,772.80	Professional		$1,087.06	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $173.20 / $867.65	Facility		$93.60	$173.20	$867.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.80 / $865.97 / $1,222.94	Facility		$568.80	$865.97	$1,222.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $582.11 / $1,029.53 / $1,425.79	Professional		$582.11	$1,029.53	$1,425.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,235.89 / $2,235.89 / $2,235.89	Facility		$2,235.89	$2,235.89	$2,235.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $814.26 / $1,040.50 / $1,370.62	Professional		$814.26	$1,040.50	$1,370.62
United Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $995.51 / $1,355.45	Professional		$634.40	$995.51	$1,355.45