Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $667.84 / $937.54 / $5,905.80	Professional		$667.84	$937.54	$5,905.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $963.22 / $963.22 / $963.22	Facility		$963.22	$963.22	$963.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $703.15 / $963.22	Professional		$703.15	$703.15	$963.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.05 / $3,264.86 / $4,258.21	Professional		$1,079.05	$3,264.86	$4,258.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $937.54 / $1,314.01 / $1,583.01	Facility		$937.54	$1,314.01	$1,583.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.18 / $1,449.01 / $1,618.58	Professional		$1,146.18	$1,449.01	$1,618.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,223.60 / $1,541.50 / $2,030.67	Facility		$1,223.60	$1,541.50	$2,030.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,387.35 / $1,541.50 / $2,030.67	Professional		$1,387.35	$1,541.50	$2,030.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $937.54 / $1,349.79 / $1,618.58	Facility		$937.54	$1,349.79	$1,618.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.15 / $1,349.79 / $1,695.65	Professional		$703.15	$1,349.79	$1,695.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,284.30 / $2,563.46 / $5,408.07	Facility		$1,284.30	$2,563.46	$5,408.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,325.69 / $1,695.65 / $1,695.65	Professional		$1,325.69	$1,695.65	$1,695.65
United Facility/Professional Professional Modifier Low / Median / High Price $734.75 / $769.04 / $1,467.22	Professional		$734.75	$769.04	$1,467.22