Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.38 / $987.34 / $1,110.75	Professional		$677.38	$987.34	$1,110.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $941.33 / $941.33	Facility		$941.33	$941.33	$941.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $687.17 / $941.33	Professional		$687.17	$687.17	$941.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.16 / $3,191.00 / $4,161.85	Professional		$1,152.16	$3,191.00	$4,161.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $987.34 / $1,352.66 / $1,645.94	Facility		$987.34	$1,352.66	$1,645.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.81 / $1,547.18 / $1,728.24	Professional		$1,223.81	$1,547.18	$1,728.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,306.50 / $1,645.94 / $1,810.53	Facility		$1,306.50	$1,645.94	$1,810.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,645.94 / $1,645.94 / $1,810.53	Professional		$1,645.94	$1,645.94	$1,810.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $1,411.90 / $1,728.24	Facility		$941.33	$1,411.90	$1,728.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $1,441.24 / $1,810.53	Professional		$687.17	$1,441.24	$1,810.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,371.30 / $2,737.12 / $5,774.47	Facility		$1,371.30	$2,737.12	$5,774.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,415.51 / $1,810.53 / $1,810.53	Professional		$1,415.51	$1,810.53	$1,810.53
United Facility/Professional Professional Modifier Low / Median / High Price $707.44 / $751.55 / $1,440.48	Professional		$707.44	$751.55	$1,440.48