Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $825.03 / $4,007.29	Professional		$456.76	$825.03	$4,007.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.83 / $740.83 / $740.83	Facility		$740.83	$740.83	$740.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $540.80 / $740.83	Professional		$540.80	$540.80	$740.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $962.77 / $2,206.65 / $2,878.01	Professional		$962.77	$2,206.65	$2,878.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $785.46 / $1,069.20 / $1,375.38	Facility		$785.46	$1,069.20	$1,375.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.64 / $1,292.85 / $1,444.15	Professional		$1,022.64	$1,292.85	$1,444.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,091.73 / $1,237.83 / $1,375.38	Facility		$1,091.73	$1,237.83	$1,375.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,091.73 / $1,340.68 / $1,375.38	Professional		$1,091.73	$1,340.68	$1,375.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $689.06 / $1,130.29 / $1,444.15	Facility		$689.06	$1,130.29	$1,444.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.80 / $1,204.32 / $1,512.92	Professional		$540.80	$1,204.32	$1,512.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,145.88 / $2,287.17 / $4,825.22	Facility		$1,145.88	$2,287.17	$4,825.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,182.83 / $1,512.92 / $1,512.92	Professional		$1,182.83	$1,512.92	$1,512.92
United Facility/Professional Professional Modifier Low / Median / High Price $489.17 / $519.67 / $991.48	Professional		$489.17	$519.67	$991.48