Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.54 / $809.85 / $4,282.54	Professional		$541.54	$809.85	$4,282.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $752.15 / $752.15	Facility		$752.15	$752.15	$752.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $549.07 / $752.15	Professional		$549.07	$549.07	$752.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.04 / $2,549.67 / $3,325.42	Professional		$945.04	$2,549.67	$3,325.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.85 / $1,109.49 / $1,350.05	Facility		$809.85	$1,109.49	$1,350.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.82 / $1,269.05 / $1,417.55	Professional		$1,003.82	$1,269.05	$1,417.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.65 / $1,338.59 / $1,485.06	Facility		$1,071.65	$1,338.59	$1,485.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,147.54 / $1,350.05 / $1,370.72	Professional		$1,147.54	$1,350.05	$1,370.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $1,158.08 / $1,417.55	Facility		$752.15	$1,158.08	$1,417.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.07 / $1,182.15 / $1,485.06	Professional		$549.07	$1,182.15	$1,485.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,124.79 / $2,245.08 / $4,736.39	Facility		$1,124.79	$2,245.08	$4,736.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,161.04 / $1,485.06 / $1,485.06	Professional		$1,161.04	$1,485.06	$1,485.06
United Facility/Professional Professional Modifier Low / Median / High Price $571.45 / $600.52 / $1,145.71	Professional		$571.45	$600.52	$1,145.71