Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.46 / $906.11 / $4,390.52	Professional		$513.46	$906.11	$4,390.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $713.15	Facility		$713.15	$713.15	$713.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $520.60 / $713.15	Professional		$520.60	$520.60	$713.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.35 / $2,417.57 / $3,153.13	Professional		$1,057.35	$2,417.57	$3,153.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $906.11 / $1,171.67 / $1,510.52	Facility		$906.11	$1,171.67	$1,510.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.14 / $1,419.89 / $1,510.52	Professional		$1,123.14	$1,419.89	$1,510.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,114.53 / $1,255.41 / $1,510.52	Facility		$1,114.53	$1,255.41	$1,510.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,141.28 / $1,454.94 / $1,510.52	Professional		$1,141.28	$1,454.94	$1,510.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.78 / $1,287.58 / $1,586.05	Facility		$756.78	$1,287.58	$1,586.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $1,322.67 / $1,661.57	Professional		$520.60	$1,322.67	$1,661.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.49 / $2,511.96 / $5,299.41	Facility		$1,258.49	$2,511.96	$5,299.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,299.05 / $1,661.57 / $1,661.57	Professional		$1,299.05	$1,661.57	$1,661.57
United Facility/Professional Professional Modifier Low / Median / High Price $541.82 / $569.38 / $1,091.30	Professional		$541.82	$569.38	$1,091.30