Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.50 / $678.43 / $3,374.57	Professional		$557.50	$678.43	$3,374.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $736.69	Facility		$736.69	$736.69	$736.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $736.69	Professional		$537.78	$537.78	$736.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.72 / $2,267.71 / $2,957.66	Professional		$818.72	$2,267.71	$2,957.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $701.60 / $961.19 / $1,169.59	Facility		$701.60	$961.19	$1,169.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $861.04 / $1,052.64 / $1,228.08	Professional		$861.04	$1,052.64	$1,228.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $928.41 / $1,169.59 / $1,286.56	Facility		$928.41	$1,169.59	$1,286.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,052.64 / $1,169.59 / $1,211.48	Professional		$1,052.64	$1,169.59	$1,211.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $701.60 / $1,003.29 / $1,228.08	Facility		$701.60	$1,003.29	$1,228.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $1,024.15 / $1,286.56	Professional		$537.78	$1,024.15	$1,286.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $974.45 / $1,945.00 / $4,103.35	Facility		$974.45	$1,945.00	$4,103.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,005.86 / $1,286.56 / $1,286.56	Professional		$1,005.86	$1,286.56	$1,286.56
United Facility/Professional Professional Modifier Low / Median / High Price $502.71 / $534.05 / $1,018.92	Professional		$502.71	$534.05	$1,018.92