Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.46 / $824.30 / $3,959.86	Professional		$617.46	$824.30	$3,959.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.19 / $969.19 / $969.19	Facility		$969.19	$969.19	$969.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $707.51 / $753.96	Professional		$707.51	$707.51	$753.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.72 / $2,906.92 / $3,791.35	Professional		$960.72	$2,906.92	$3,791.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.28 / $1,169.89 / $1,409.27	Facility		$823.28	$1,169.89	$1,409.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.47 / $1,273.27 / $1,441.07	Professional		$1,020.47	$1,273.27	$1,441.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.41 / $1,372.45 / $1,829.93	Facility		$1,089.41	$1,372.45	$1,829.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,235.21 / $1,372.45 / $1,829.93	Professional		$1,235.21	$1,372.45	$1,829.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.28 / $1,201.76 / $1,441.07	Facility		$823.28	$1,201.76	$1,441.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.51 / $1,201.76 / $1,548.02	Professional		$707.51	$1,201.76	$1,548.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,143.45 / $2,282.34 / $4,814.97	Facility		$1,143.45	$2,282.34	$4,814.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,180.31 / $1,509.70 / $1,509.70	Professional		$1,180.31	$1,509.70	$1,509.70
United Facility/Professional Professional Modifier Low / Median / High Price $644.51 / $684.70 / $1,306.31	Professional		$644.51	$684.70	$1,306.31