Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.69 / $942.63 / $4,471.79	Professional		$691.69	$942.63	$4,471.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.52 / $950.52 / $950.52	Facility		$950.52	$950.52	$950.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $693.88 / $950.52	Professional		$693.88	$693.88	$950.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.93 / $3,005.63 / $3,920.10	Professional		$1,084.93	$3,005.63	$3,920.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.63 / $1,291.40 / $1,549.90	Facility		$942.63	$1,291.40	$1,549.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.40 / $1,456.91 / $1,627.40	Professional		$1,152.40	$1,456.91	$1,627.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.26 / $1,549.90 / $1,704.89	Facility		$1,230.26	$1,549.90	$1,704.89
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,394.91 / $1,549.90 / $1,608.60	Professional		$1,394.91	$1,549.90	$1,608.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.63 / $1,331.14 / $1,627.40	Facility		$942.63	$1,331.14	$1,627.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $1,357.14 / $1,704.89	Professional		$693.88	$1,357.14	$1,704.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,291.28 / $2,577.40 / $5,437.52	Facility		$1,291.28	$2,577.40	$5,437.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,332.91 / $1,704.89 / $1,704.89	Professional		$1,332.91	$1,704.89	$1,704.89
United Facility/Professional Professional Modifier Low / Median / High Price $676.33 / $707.89 / $1,350.55	Professional		$676.33	$707.89	$1,350.55