Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.32 / $768.00 / $985.67	Professional		$675.32	$768.00	$985.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.13 / $854.13 / $854.13	Facility		$854.13	$854.13	$854.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.44 / $1,759.33 / $2,252.92	Professional		$1,090.44	$1,759.33	$2,252.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,456.46 / $1,777.98 / $2,037.96	Professional		$1,456.46	$1,777.98	$2,037.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $703.37 / $905.49 / $1,685.73	Facility		$703.37	$905.49	$1,685.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $495.78 / $708.26 / $745.54	Facility		$495.78	$708.26	$745.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.72 / $905.49 / $1,712.73	Facility		$735.72	$905.49	$1,712.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.65 / $1,453.80 / $2,074.52	Professional		$894.65	$1,453.80	$2,074.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,651.93 / $2,122.73	Facility		$1,318.75	$1,651.93	$2,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,139.77 / $1,471.97 / $2,008.70	Professional		$1,139.77	$1,471.97	$2,008.70
United Facility/Professional Facility Modifier Low / Median / High Price $879.02 / $879.02 / $879.02	Facility		$879.02	$879.02	$879.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,094.88 / $1,583.36 / $2,407.82	Professional		$1,094.88	$1,583.36	$2,407.82