Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.44 / $770.60 / $3,655.68	Professional		$565.44	$770.60	$3,655.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $724.63	Facility		$724.63	$724.63	$724.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $724.63	Professional		$528.98	$528.98	$724.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.93 / $2,456.63 / $3,204.07	Professional		$886.93	$2,456.63	$3,204.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $770.60 / $1,055.72 / $1,267.04	Facility		$770.60	$1,055.72	$1,267.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $942.09 / $1,191.02 / $1,330.39	Professional		$942.09	$1,191.02	$1,330.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,140.33 / $1,267.04 / $1,443.57	Facility		$1,140.33	$1,267.04	$1,443.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $1,088.21 / $1,330.39	Facility		$724.63	$1,088.21	$1,330.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $1,109.46 / $1,393.74	Professional		$528.98	$1,109.46	$1,393.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,055.61 / $2,107.02 / $4,445.16	Facility		$1,055.61	$2,107.02	$4,445.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,089.65 / $1,393.74 / $1,393.74	Professional		$1,089.65	$1,393.74	$1,393.74
United Facility/Professional Professional Modifier Low / Median / High Price $552.75 / $578.54 / $1,108.88	Professional		$552.75	$578.54	$1,108.88