Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $876.65 / $4,158.76	Professional		$624.46	$876.65	$4,158.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,200.11	Facility		$1,200.11	$1,200.11	$1,200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $876.09 / $1,200.11	Professional		$876.09	$876.09	$1,200.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.97 / $3,053.22 / $3,982.17	Professional		$1,008.97	$3,053.22	$3,982.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.65 / $1,228.67 / $1,479.80	Facility		$876.65	$1,228.67	$1,479.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.73 / $1,354.91 / $1,513.46	Professional		$1,071.73	$1,354.91	$1,513.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,144.14 / $1,441.39 / $1,921.85	Facility		$1,144.14	$1,441.39	$1,921.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,145.06 / $1,441.39 / $1,921.85	Professional		$1,145.06	$1,441.39	$1,921.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $876.65 / $1,262.13 / $1,513.46	Facility		$876.65	$1,262.13	$1,513.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,262.13 / $1,585.53	Professional		$876.09	$1,262.13	$1,585.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.89 / $2,396.98 / $5,056.85	Facility		$1,200.89	$2,396.98	$5,056.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,239.59 / $1,585.53 / $1,585.53	Professional		$1,239.59	$1,585.53	$1,585.53
United Facility/Professional Professional Modifier Low / Median / High Price $687.04 / $719.09 / $1,371.94	Professional		$687.04	$719.09	$1,371.94