Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.29 / $747.93 / $3,338.45	Professional		$501.29	$747.93	$3,338.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $930.44 / $930.44 / $930.44	Facility		$930.44	$930.44	$930.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $679.22 / $930.44	Professional		$679.22	$679.22	$930.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.82 / $2,450.94 / $3,196.65	Professional		$860.82	$2,450.94	$3,196.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.93 / $1,024.66 / $1,229.74	Facility		$747.93	$1,024.66	$1,229.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.37 / $1,155.96 / $1,291.23	Professional		$914.37	$1,155.96	$1,291.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $976.15 / $1,157.08 / $1,272.79	Facility		$976.15	$1,157.08	$1,272.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,106.77 / $1,229.74 / $1,272.79	Professional		$1,106.77	$1,229.74	$1,272.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $747.93 / $1,069.54 / $1,291.23	Facility		$747.93	$1,069.54	$1,291.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $1,076.81 / $1,352.71	Professional		$679.22	$1,076.81	$1,352.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,024.56 / $2,045.02 / $4,314.35	Facility		$1,024.56	$2,045.02	$4,314.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,057.58 / $1,352.71 / $1,352.71	Professional		$1,057.58	$1,352.71	$1,352.71
United Facility/Professional Professional Modifier Low / Median / High Price $551.52 / $577.25 / $1,101.33	Professional		$551.52	$577.25	$1,101.33