Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.70 / $915.96 / $1,112.23	Professional		$727.70	$915.96	$1,112.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.02 / $1,433.33 / $2,228.50	Professional		$812.02	$1,433.33	$2,228.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,361.84 / $1,768.50 / $2,116.96	Professional		$1,361.84	$1,768.50	$2,116.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $1,173.77 / $1,791.80	Facility		$820.00	$1,173.77	$1,791.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.55 / $401.55 / $1,482.17	Professional		$401.55	$401.55	$1,482.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,103.96 / $1,651.39 / $1,681.03	Facility		$1,103.96	$1,651.39	$1,681.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.16 / $1,133.97 / $1,791.80	Facility		$819.16	$1,133.97	$1,791.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $871.86 / $1,605.54 / $2,281.07	Professional		$871.86	$1,605.54	$2,281.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,298.88 / $1,737.97 / $2,282.07	Professional		$1,298.88	$1,737.97	$2,282.07
United Facility/Professional Professional Modifier Low / Median / High Price $656.26 / $905.63 / $1,345.32	Professional		$656.26	$905.63	$1,345.32