Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.45 / $810.24 / $4,453.05	Professional		$654.45	$810.24	$4,453.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $842.96 / $842.96	Facility		$842.96	$842.96	$842.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $615.36 / $842.96	Professional		$615.36	$615.36	$842.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.34 / $2,857.19 / $3,726.49	Professional		$944.34	$2,857.19	$3,726.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $809.24 / $1,108.66 / $1,384.76	Facility		$809.24	$1,108.66	$1,384.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $993.13 / $1,268.10 / $1,416.50	Professional		$993.13	$1,268.10	$1,416.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,070.83 / $1,349.05 / $1,514.95	Facility		$1,070.83	$1,349.05	$1,514.95
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,214.15 / $1,349.05 / $1,514.95	Professional		$1,214.15	$1,349.05	$1,514.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.24 / $1,181.27 / $1,416.50	Facility		$809.24	$1,181.27	$1,416.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $615.36 / $1,181.27 / $1,483.96	Professional		$615.36	$1,181.27	$1,483.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,123.95 / $2,243.42 / $4,732.88	Facility		$1,123.95	$2,243.42	$4,732.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,160.18 / $1,483.96 / $1,483.96	Professional		$1,160.18	$1,483.96	$1,483.96
United Facility/Professional Professional Modifier Low / Median / High Price $633.52 / $673.03 / $1,284.04	Professional		$633.52	$673.03	$1,284.04