Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.98 / $886.62 / $4,650.60	Professional		$536.98	$886.62	$4,650.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $755.39 / $755.39	Facility		$755.39	$755.39	$755.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $551.42 / $755.39	Professional		$551.42	$551.42	$755.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.61 / $2,560.34 / $3,339.31	Professional		$1,034.61	$2,560.34	$3,339.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $886.62 / $1,214.67 / $1,478.03	Facility		$886.62	$1,214.67	$1,478.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.98 / $1,389.35 / $1,551.93	Professional		$1,098.98	$1,389.35	$1,551.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,173.24 / $1,329.78 / $1,478.03	Facility		$1,173.24	$1,329.78	$1,478.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,208.89 / $1,478.03 / $1,478.03	Professional		$1,208.89	$1,478.03	$1,478.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.39 / $1,259.91 / $1,551.93	Facility		$755.39	$1,259.91	$1,551.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $551.42 / $1,294.21 / $1,625.83	Professional		$551.42	$1,294.21	$1,625.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,231.41 / $2,457.90 / $5,185.38	Facility		$1,231.41	$2,457.90	$5,185.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,271.10 / $1,625.83 / $1,625.83	Professional		$1,271.10	$1,625.83	$1,625.83
United Facility/Professional Professional Modifier Low / Median / High Price $567.70 / $603.10 / $1,180.56	Professional		$567.70	$603.10	$1,180.56