Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.85 / $284.85 / $367.13	Professional		$284.85	$284.85	$367.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $516.94 / $748.80	Professional		$331.00	$516.94	$748.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.90 / $496.73 / $575.69	Professional		$406.90	$496.73	$575.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $284.85 / $425.37 / $612.42	Facility		$284.85	$425.37	$612.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.47 / $17,150.38 / $18,772.80	Professional		$544.47	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $351.72 / $434.16	Facility		$93.60	$351.72	$434.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $284.85 / $433.33 / $612.42	Facility		$284.85	$433.33	$612.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $515.16 / $712.89	Professional		$291.27	$515.16	$712.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,117.97 / $1,117.97 / $1,117.97	Facility		$1,117.97	$1,117.97	$1,117.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.13 / $520.25 / $685.31	Professional		$407.13	$520.25	$685.31
United Facility/Professional Professional Modifier Low / Median / High Price $317.72 / $446.02 / $684.07	Professional		$317.72	$446.02	$684.07