Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.98 / $888.71 / $4,672.18	Professional		$654.98	$888.71	$4,672.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.06 / $913.06 / $913.06	Facility		$913.06	$913.06	$913.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $666.53 / $913.06	Professional		$666.53	$666.53	$913.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.86 / $3,095.13 / $4,036.82	Professional		$1,022.86	$3,095.13	$4,036.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $888.71 / $1,245.57 / $1,539.65	Facility		$888.71	$1,245.57	$1,539.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,086.48 / $1,373.56 / $1,534.29	Professional		$1,086.48	$1,373.56	$1,534.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,159.89 / $1,461.23 / $1,607.35	Facility		$1,159.89	$1,461.23	$1,607.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,160.82 / $1,461.23 / $1,603.04	Professional		$1,160.82	$1,461.23	$1,603.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.71 / $1,270.85 / $1,534.29	Facility		$888.71	$1,270.85	$1,534.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $666.53 / $1,279.50 / $1,607.35	Professional		$666.53	$1,279.50	$1,607.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,217.41 / $2,429.98 / $5,126.43	Facility		$1,217.41	$2,429.98	$5,126.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,256.66 / $1,607.35 / $1,607.35	Professional		$1,256.66	$1,607.35	$1,607.35
United Facility/Professional Professional Modifier Low / Median / High Price $696.49 / $728.99 / $1,390.82	Professional		$696.49	$728.99	$1,390.82