Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.18 / $876.92 / $4,931.74	Professional		$760.18	$876.92	$4,931.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.38 / $888.38 / $888.38	Facility		$888.38	$888.38	$888.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $648.52 / $888.38	Professional		$648.52	$648.52	$888.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.32 / $2,909.04 / $3,794.13	Professional		$1,023.32	$2,909.04	$3,794.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.92 / $1,201.38 / $1,461.88	Facility		$876.92	$1,201.38	$1,461.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.97 / $1,374.17 / $1,534.97	Professional		$1,086.97	$1,374.17	$1,534.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.41 / $1,461.88 / $1,608.07	Facility		$1,160.41	$1,461.88	$1,608.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,315.69 / $1,461.88 / $1,544.09	Professional		$1,315.69	$1,461.88	$1,544.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.64 / $1,254.00 / $1,534.97	Facility		$825.64	$1,254.00	$1,534.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $1,280.07 / $1,608.07	Professional		$648.52	$1,280.07	$1,608.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,217.95 / $2,431.04 / $5,128.72	Facility		$1,217.95	$2,431.04	$5,128.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,257.22 / $1,608.07 / $1,608.07	Professional		$1,257.22	$1,608.07	$1,608.07
United Facility/Professional Professional Modifier Low / Median / High Price $644.91 / $685.12 / $1,341.11	Professional		$644.91	$685.12	$1,341.11