Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.91 / $826.11 / $1,706.56	Professional		$602.91	$826.11	$1,706.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.19 / $1,269.02 / $1,989.01	Professional		$731.19	$1,269.02	$1,989.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.66 / $1,593.08 / $1,926.53	Professional		$1,233.66	$1,593.08	$1,926.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.21 / $1,174.58 / $1,738.65	Facility		$748.21	$1,174.58	$1,738.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,220.59 / $1,923.38	Professional		$1,021.38	$1,220.59	$1,923.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $880.82 / $1,254.00 / $1,527.60	Facility		$880.82	$1,254.00	$1,527.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.11 / $1,196.61 / $1,947.03	Facility		$746.11	$1,196.61	$1,947.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.17 / $1,505.46 / $1,989.01	Professional		$1,096.17	$1,505.46	$1,989.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,146.97 / $1,553.67 / $2,080.50	Professional		$1,146.97	$1,553.67	$2,080.50
United Facility/Professional Professional Modifier Low / Median / High Price $873.60 / $1,232.32 / $1,959.28	Professional		$873.60	$1,232.32	$1,959.28