Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.29 / $963.07 / $5,039.00	Professional		$735.29	$963.07	$5,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Facility		$891.35	$891.35	$891.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $650.69 / $891.35	Professional		$650.69	$650.69	$891.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.83 / $3,021.27 / $3,940.48	Professional		$1,123.83	$3,021.27	$3,940.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $963.07 / $1,319.41 / $1,605.49	Facility		$963.07	$1,319.41	$1,605.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.73 / $1,509.16 / $1,685.76	Professional		$1,193.73	$1,509.16	$1,685.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.40 / $1,444.94 / $1,605.49	Facility		$1,274.40	$1,444.94	$1,605.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,426.48 / $1,569.13 / $1,605.49	Professional		$1,426.48	$1,569.13	$1,605.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.35 / $1,377.19 / $1,685.76	Facility		$891.35	$1,377.19	$1,685.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $1,405.82 / $1,766.04	Professional		$650.69	$1,405.82	$1,766.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,337.60 / $2,669.86 / $5,632.56	Facility		$1,337.60	$2,669.86	$5,632.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.72 / $1,766.04 / $1,766.04	Professional		$1,380.72	$1,766.04	$1,766.04
United Facility/Professional Professional Modifier Low / Median / High Price $669.88 / $711.65 / $1,357.75	Professional		$669.88	$711.65	$1,357.75