Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.03 / $730.80 / $3,466.84	Professional		$498.03	$730.80	$3,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.43 / $895.43 / $895.43	Facility		$895.43	$895.43	$895.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $653.66 / $895.43	Professional		$653.66	$653.66	$895.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $841.11 / $2,361.46 / $3,079.95	Professional		$841.11	$2,361.46	$3,079.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $1,001.20 / $1,201.58	Facility		$730.80	$1,001.20	$1,201.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $893.42 / $1,129.49 / $1,201.58	Professional		$893.42	$1,129.49	$1,201.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.79 / $1,178.50 / $1,321.75	Facility		$953.79	$1,178.50	$1,321.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,081.43 / $1,201.58 / $1,206.78	Professional		$1,081.43	$1,201.58	$1,206.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.80 / $1,045.04 / $1,261.67	Facility		$730.80	$1,045.04	$1,261.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $1,052.15 / $1,321.75	Professional		$653.66	$1,052.15	$1,321.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,001.09 / $1,998.18 / $4,215.54	Facility		$1,001.09	$1,998.18	$4,215.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,033.36 / $1,321.75 / $1,321.75	Professional		$1,033.36	$1,321.75	$1,321.75
United Facility/Professional Professional Modifier Low / Median / High Price $531.42 / $556.23 / $1,061.22	Professional		$531.42	$556.23	$1,061.22