Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.84 / $976.20 / $5,495.09	Professional		$697.84	$976.20	$5,495.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $902.63 / $902.63	Facility		$902.63	$902.63	$902.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $658.92 / $902.63	Professional		$658.92	$658.92	$902.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,123.56 / $3,059.61 / $3,990.51	Professional		$1,123.56	$3,059.61	$3,990.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $976.20 / $1,337.39 / $1,605.08	Facility		$976.20	$1,337.39	$1,605.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.44 / $1,508.78 / $1,685.33	Professional		$1,193.44	$1,508.78	$1,685.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,274.08 / $1,472.98 / $1,620.28	Facility		$1,274.08	$1,472.98	$1,620.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,444.57 / $1,605.08 / $1,620.28	Professional		$1,444.57	$1,605.08	$1,620.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.63 / $1,395.97 / $1,685.33	Facility		$902.63	$1,395.97	$1,685.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.92 / $1,405.46 / $1,765.59	Professional		$658.92	$1,405.46	$1,765.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,337.26 / $2,669.18 / $5,631.12	Facility		$1,337.26	$2,669.18	$5,631.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.37 / $1,765.59 / $1,765.59	Professional		$1,380.37	$1,765.59	$1,765.59
United Facility/Professional Professional Modifier Low / Median / High Price $688.54 / $720.66 / $1,381.27	Professional		$688.54	$720.66	$1,381.27