Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.59 / $690.61 / $907.25	Professional		$575.59	$690.61	$907.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $756.07 / $756.07	Facility		$756.07	$756.07	$756.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $551.92 / $756.07	Professional		$551.92	$551.92	$756.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.07 / $2,340.86 / $3,053.07	Professional		$845.07	$2,340.86	$3,053.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.18 / $992.13 / $1,207.24	Facility		$724.18	$992.13	$1,207.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.73 / $1,086.52 / $1,267.59	Professional		$888.73	$1,086.52	$1,267.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $958.28 / $1,207.24 / $1,327.96	Facility		$958.28	$1,207.24	$1,327.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,086.52 / $1,207.24 / $1,252.95	Professional		$1,086.52	$1,207.24	$1,252.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.18 / $1,036.85 / $1,267.59	Facility		$724.18	$1,036.85	$1,267.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.92 / $1,057.09 / $1,327.96	Professional		$551.92	$1,057.09	$1,327.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,005.80 / $2,007.58 / $4,235.38	Facility		$1,005.80	$2,007.58	$4,235.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,038.23 / $1,327.96 / $1,327.96	Professional		$1,038.23	$1,327.96	$1,327.96
United Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $551.38 / $1,051.97	Professional		$519.01	$551.38	$1,051.97