Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.35 / $783.77 / $3,864.54	Professional		$644.35	$783.77	$3,864.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.11 / $908.11 / $908.11	Facility		$908.11	$908.11	$908.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $662.92 / $880.66	Professional		$662.92	$662.92	$880.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.08 / $2,729.35 / $3,559.76	Professional		$902.08	$2,729.35	$3,559.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $1,073.76 / $1,323.14	Facility		$783.77	$1,073.76	$1,323.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $958.19 / $1,211.36 / $1,353.12	Professional		$958.19	$1,211.36	$1,353.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,022.94 / $1,258.48 / $1,417.56	Facility		$1,022.94	$1,258.48	$1,417.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,022.94 / $1,288.69 / $1,288.69	Professional		$1,022.94	$1,288.69	$1,288.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.77 / $1,128.42 / $1,353.12	Facility		$774.77	$1,128.42	$1,353.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.92 / $1,128.42 / $1,417.56	Professional		$662.92	$1,128.42	$1,417.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,073.66 / $2,143.04 / $4,521.13	Facility		$1,073.66	$2,143.04	$4,521.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,108.27 / $1,417.56 / $1,417.56	Professional		$1,108.27	$1,417.56	$1,417.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,061.90 / $2,061.90 / $2,749.20	Facility		$2,061.90	$2,061.90	$2,749.20
United Facility/Professional Professional Modifier Low / Median / High Price $614.25 / $642.91 / $1,232.25	Professional		$614.25	$642.91	$1,232.25