Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.44 / $774.29 / $3,757.45	Professional		$500.44	$774.29	$3,757.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.29 / $875.29 / $875.29	Facility		$875.29	$875.29	$875.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $638.96 / $875.29	Professional		$638.96	$638.96	$875.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.16 / $2,295.41 / $2,993.80	Professional		$891.16	$2,295.41	$2,993.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.29 / $1,060.78 / $1,273.08	Facility		$774.29	$1,060.78	$1,273.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $946.59 / $1,196.70 / $1,336.74	Professional		$946.59	$1,196.70	$1,336.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,145.78 / $1,243.25 / $1,400.40	Facility		$1,145.78	$1,243.25	$1,400.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,011.36 / $1,011.36 / $1,011.36	Professional		$1,011.36	$1,011.36	$1,011.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.29 / $1,107.23 / $1,336.74	Facility		$774.29	$1,107.23	$1,336.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $1,114.76 / $1,400.40	Professional		$638.96	$1,114.76	$1,400.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,060.67 / $2,117.10 / $4,466.39	Facility		$1,060.67	$2,117.10	$4,466.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,094.85 / $1,400.40 / $1,400.40	Professional		$1,094.85	$1,400.40	$1,400.40
United Facility/Professional Professional Modifier Low / Median / High Price $516.53 / $540.63 / $1,058.27	Professional		$516.53	$540.63	$1,058.27