Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.96 / $800.19 / $5,125.35	Professional		$595.96	$800.19	$5,125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.50 / $832.50 / $832.50	Facility		$832.50	$832.50	$832.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $607.73 / $832.50	Professional		$607.73	$607.73	$832.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.62 / $2,821.68 / $3,680.18	Professional		$932.62	$2,821.68	$3,680.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.20 / $1,094.90 / $1,367.69	Facility		$799.20	$1,094.90	$1,367.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.62 / $1,252.36 / $1,398.93	Professional		$990.62	$1,252.36	$1,398.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,057.55 / $1,332.31 / $1,497.49	Facility		$1,057.55	$1,332.31	$1,497.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,057.55 / $1,332.31 / $1,497.49	Professional		$1,057.55	$1,332.31	$1,497.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.20 / $1,144.27 / $1,398.93	Facility		$799.20	$1,144.27	$1,398.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $1,166.60 / $1,465.54	Professional		$607.73	$1,166.60	$1,465.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $2,215.58 / $4,674.14	Facility		$1,110.00	$2,215.58	$4,674.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,145.79 / $1,465.54 / $1,465.54	Professional		$1,145.79	$1,465.54	$1,465.54
United Facility/Professional Professional Modifier Low / Median / High Price $635.04 / $664.67 / $1,268.10	Professional		$635.04	$664.67	$1,268.10