Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $913.95 / $4,395.89	Professional		$489.64	$913.95	$4,395.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.02 / $714.02 / $714.02	Facility		$714.02	$714.02	$714.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $521.23 / $714.02	Professional		$521.23	$521.23	$714.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.51 / $2,420.42 / $3,156.82	Professional		$1,066.51	$2,420.42	$3,156.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $857.02 / $1,173.15 / $1,523.58	Facility		$857.02	$1,173.15	$1,523.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,132.83 / $1,413.49 / $1,523.58	Professional		$1,132.83	$1,413.49	$1,523.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,156.19 / $1,326.06 / $1,523.58	Facility		$1,156.19	$1,326.06	$1,523.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,183.94 / $1,447.40 / $1,523.58	Professional		$1,183.94	$1,447.40	$1,523.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.32 / $1,298.73 / $1,599.76	Facility		$763.32	$1,298.73	$1,599.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.23 / $1,334.10 / $1,675.94	Professional		$521.23	$1,334.10	$1,675.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,269.36 / $2,533.66 / $5,345.21	Facility		$1,269.36	$2,533.66	$5,345.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,310.28 / $1,675.94 / $1,675.94	Professional		$1,310.28	$1,675.94	$1,675.94
United Facility/Professional Professional Modifier Low / Median / High Price $536.61 / $570.07 / $1,087.63	Professional		$536.61	$570.07	$1,087.63