Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $1,052.14 / $5,060.58	Professional		$575.12	$1,052.14	$5,060.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $830.86 / $830.86	Facility		$830.86	$830.86	$830.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $606.53 / $830.86	Professional		$606.53	$606.53	$830.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.77 / $2,786.18 / $3,633.88	Professional		$1,227.77	$2,786.18	$3,633.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $957.06 / $1,346.74 / $1,753.95	Facility		$957.06	$1,346.74	$1,753.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.13 / $1,648.71 / $1,841.65	Professional		$1,304.13	$1,648.71	$1,841.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,284.63 / $1,447.01 / $1,753.95	Facility		$1,284.63	$1,447.01	$1,753.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,315.46 / $1,578.56 / $1,753.95	Professional		$1,315.46	$1,578.56	$1,753.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $830.86 / $1,441.43 / $1,841.65	Facility		$830.86	$1,441.43	$1,841.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $1,535.82 / $1,929.35	Professional		$606.53	$1,535.82	$1,929.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,461.30 / $2,916.76 / $6,153.42	Facility		$1,461.30	$2,916.76	$6,153.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,508.40 / $1,929.35 / $1,929.35	Professional		$1,508.40	$1,929.35	$1,929.35
United Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $876.64 / $876.64	Facility		$876.64	$876.64	$876.64
United Facility/Professional Professional Modifier Low / Median / High Price $624.50 / $656.27 / $1,257.84	Professional		$624.50	$656.27	$1,257.84