Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.45 / $936.80 / $5,710.93	Professional		$722.45	$936.80	$5,710.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.77 / $1,149.77 / $1,149.77	Facility		$1,149.77	$1,149.77	$1,149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $839.33 / $1,149.77	Professional		$839.33	$839.33	$1,149.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.18 / $3,144.12 / $4,100.72	Professional		$1,093.18	$3,144.12	$4,100.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $936.80 / $1,283.42 / $1,561.69	Facility		$936.80	$1,283.42	$1,561.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.18 / $1,467.99 / $1,639.77	Professional		$1,161.18	$1,467.99	$1,639.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,239.64 / $1,484.52 / $1,632.97	Facility		$1,239.64	$1,484.52	$1,632.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,405.52 / $1,561.69 / $1,561.69	Professional		$1,405.52	$1,561.69	$1,561.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $936.80 / $1,339.62 / $1,639.77	Facility		$936.80	$1,339.62	$1,639.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $839.33 / $1,367.47 / $1,717.86	Professional		$839.33	$1,367.47	$1,717.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,301.10 / $2,597.02 / $5,478.91	Facility		$1,301.10	$2,597.02	$5,478.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,343.05 / $1,717.86 / $1,717.86	Professional		$1,343.05	$1,717.86	$1,717.86
United Facility/Professional Professional Modifier Low / Median / High Price $697.14 / $740.61 / $1,412.99	Professional		$697.14	$740.61	$1,412.99