Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.53 / $823.20 / $3,959.48	Professional		$603.53	$823.20	$3,959.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.46 / $907.46 / $907.46	Facility		$907.46	$907.46	$907.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $662.45 / $907.46	Professional		$662.45	$662.45	$907.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.62 / $2,660.48 / $3,469.90	Professional		$960.62	$2,660.48	$3,469.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $1,127.78 / $1,372.31	Facility		$823.20	$1,127.78	$1,372.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.37 / $1,289.97 / $1,440.93	Professional		$1,020.37	$1,289.97	$1,440.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,089.31 / $1,372.31 / $1,509.54	Facility		$1,089.31	$1,372.31	$1,509.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,166.46 / $1,372.31 / $1,421.46	Professional		$1,166.46	$1,372.31	$1,421.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.20 / $1,201.65 / $1,440.93	Facility		$823.20	$1,201.65	$1,440.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.45 / $1,201.65 / $1,509.54	Professional		$662.45	$1,201.65	$1,509.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,143.33 / $2,282.12 / $4,814.53	Facility		$1,143.33	$2,282.12	$4,814.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,180.19 / $1,509.54 / $1,509.54	Professional		$1,180.19	$1,509.54	$1,509.54
United Facility/Professional Professional Modifier Low / Median / High Price $596.29 / $626.62 / $1,226.59	Professional		$596.29	$626.62	$1,226.59