Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.49 / $971.91 / $6,141.28	Professional		$811.49	$971.91	$6,141.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.36 / $1,030.36 / $1,030.36	Facility		$1,030.36	$1,030.36	$1,030.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $752.17 / $876.96	Professional		$752.17	$752.17	$876.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.15 / $3,381.34 / $4,410.10	Professional		$1,134.15	$3,381.34	$4,410.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $971.91 / $1,365.28 / $1,620.22	Facility		$971.91	$1,365.28	$1,620.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.70 / $1,523.01 / $1,701.23	Professional		$1,204.70	$1,523.01	$1,701.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,286.09 / $1,620.22 / $1,876.56	Facility		$1,286.09	$1,620.22	$1,876.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,287.13 / $1,620.22 / $1,876.56	Professional		$1,287.13	$1,620.22	$1,876.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $971.91 / $1,418.72 / $1,701.23	Facility		$971.91	$1,418.72	$1,701.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $1,418.72 / $1,782.24	Professional		$752.17	$1,418.72	$1,782.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,349.88 / $2,694.38 / $5,684.24	Facility		$1,349.88	$2,694.38	$5,684.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,393.39 / $1,782.24 / $1,782.24	Professional		$1,393.39	$1,782.24	$1,782.24
United Facility/Professional Professional Modifier Low / Median / High Price $749.66 / $796.42 / $1,519.46	Professional		$749.66	$796.42	$1,519.46