Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $911.07 / $1,179.03	Professional		$52.52	$911.07	$1,179.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $125.77	Professional		$102.00	$102.00	$125.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.70 / $3,118.56 / $3,812.15	Professional		$1,125.70	$3,118.56	$3,812.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.89 / $1,302.83 / $1,647.63	Facility		$283.89	$1,302.83	$1,647.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.33 / $1,608.14 / $1,929.77	Professional		$1,447.33	$1,608.14	$1,929.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,570.45 / $1,608.14 / $1,919.34	Facility		$1,570.45	$1,608.14	$1,919.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $1,408.14 / $1,615.27	Facility		$137.41	$1,408.14	$1,615.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $1,408.14 / $1,683.72	Professional		$102.00	$1,408.14	$1,683.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $1,339.81 / $5,590.39	Facility		$214.32	$1,339.81	$5,590.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,383.00 / $1,768.95 / $1,768.95	Professional		$1,383.00	$1,768.95	$1,768.95
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $69.12 / $862.64	Professional		$68.50	$69.12	$862.64