Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.37 / $758.87 / $3,650.06	Professional		$556.37	$758.87	$3,650.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.52 / $723.52 / $723.52	Facility		$723.52	$723.52	$723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $528.16 / $723.52	Professional		$528.16	$528.16	$723.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.55 / $2,452.38 / $3,198.52	Professional		$885.55	$2,452.38	$3,198.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.87 / $1,108.78 / $1,391.58	Facility		$758.87	$1,108.78	$1,391.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $940.63 / $1,201.82 / $1,328.32	Professional		$940.63	$1,201.82	$1,328.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,235.42 / $1,265.07 / $1,441.43	Facility		$1,235.42	$1,265.07	$1,441.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.87 / $1,107.74 / $1,328.32	Facility		$758.87	$1,107.74	$1,328.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.16 / $1,107.74 / $1,391.58	Professional		$528.16	$1,107.74	$1,391.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,053.99 / $2,103.78 / $4,438.27	Facility		$1,053.99	$2,103.78	$4,438.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,087.96 / $1,391.58 / $1,391.58	Professional		$1,087.96	$1,391.58	$1,391.58
United Facility/Professional Professional Modifier Low / Median / High Price $551.90 / $577.66 / $1,102.08	Professional		$551.90	$577.66	$1,102.08