Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.95 / $745.42 / $4,148.45	Professional		$549.95	$745.42	$4,148.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility		$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $711.81	Professional		$519.62	$519.62	$711.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $869.86 / $2,284.05 / $2,978.98	Professional		$869.86	$2,284.05	$2,978.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $745.42 / $1,021.23 / $1,242.65	Facility		$745.42	$1,021.23	$1,242.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $923.96 / $1,168.08 / $1,304.78	Professional		$923.96	$1,168.08	$1,304.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.39 / $1,118.39 / $1,242.65	Facility		$986.39	$1,118.39	$1,242.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,078.36 / $1,186.21 / $1,242.65	Professional		$1,078.36	$1,186.21	$1,242.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $1,067.27 / $1,304.78	Facility		$711.81	$1,067.27	$1,304.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $1,088.10 / $1,366.92	Professional		$519.62	$1,088.10	$1,366.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,035.31 / $2,066.48 / $4,359.62	Facility		$1,035.31	$2,066.48	$4,359.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,068.68 / $1,366.92 / $1,366.92	Professional		$1,068.68	$1,366.92	$1,366.92
United Facility/Professional Professional Modifier Low / Median / High Price $506.41 / $537.98 / $1,031.14	Professional		$506.41	$537.98	$1,031.14