Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.78 / $795.51 / $2,748.48	Professional		$593.78	$795.51	$2,748.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.92 / $1,549.69 / $1,857.05	Professional		$695.92	$1,549.69	$1,857.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $663.75 / $833.87 / $1,710.35	Facility		$663.75	$833.87	$1,710.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $724.31 / $833.87	Professional		$75.81	$724.31	$833.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.06 / $762.43 / $1,213.23	Facility		$758.06	$762.43	$1,213.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $758.06 / $833.87 / $1,233.55	Professional		$758.06	$833.87	$1,233.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.76 / $912.31 / $1,710.35	Facility		$668.76	$912.31	$1,710.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $912.31 / $1,694.56	Professional		$82.66	$912.31	$1,694.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,140.33 / $2,646.85 / $3,274.87	Facility		$1,140.33	$2,646.85	$3,274.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.15 / $1,454.14 / $2,597.19	Professional		$1,100.15	$1,454.14	$2,597.19