Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.10 / $871.71 / $4,192.77	Professional		$639.10	$871.71	$4,192.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $831.10 / $831.10	Facility		$831.10	$831.10	$831.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $606.70 / $831.10	Professional		$606.70	$606.70	$831.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,017.23 / $2,817.42 / $3,674.62	Professional		$1,017.23	$2,817.42	$3,674.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.71 / $1,194.24 / $1,453.18	Facility		$871.71	$1,194.24	$1,453.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.49 / $1,365.99 / $1,525.84	Professional		$1,080.49	$1,365.99	$1,525.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,153.50 / $1,453.18 / $1,598.50	Facility		$1,153.50	$1,453.18	$1,598.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,235.20 / $1,453.18 / $1,505.21	Professional		$1,235.20	$1,453.18	$1,505.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.10 / $1,272.46 / $1,525.84	Facility		$831.10	$1,272.46	$1,525.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.70 / $1,272.46 / $1,598.50	Professional		$606.70	$1,272.46	$1,598.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,210.71 / $2,416.58 / $5,098.24	Facility		$1,210.71	$2,416.58	$5,098.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,249.73 / $1,598.50 / $1,598.50	Professional		$1,249.73	$1,598.50	$1,598.50
United Facility/Professional Professional Modifier Low / Median / High Price $624.60 / $663.55 / $1,271.80	Professional		$624.60	$663.55	$1,271.80