Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.98 / $823.59 / $3,907.05	Professional		$486.98	$823.59	$3,907.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $702.38 / $702.38	Facility		$702.38	$702.38	$702.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $512.74 / $702.38	Professional		$512.74	$512.74	$702.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.91 / $2,380.65 / $3,104.95	Professional		$947.91	$2,380.65	$3,104.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $823.59 / $1,128.32 / $1,354.15	Facility		$823.59	$1,128.32	$1,354.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.86 / $1,272.90 / $1,354.15	Professional		$1,006.86	$1,272.90	$1,354.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.89 / $1,270.10 / $1,397.12	Facility		$1,074.89	$1,270.10	$1,397.12
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,218.74 / $1,354.15 / $1,489.57	Professional		$1,218.74	$1,354.15	$1,489.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.38 / $1,154.30 / $1,421.86	Facility		$702.38	$1,154.30	$1,421.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $1,185.74 / $1,489.57	Professional		$512.74	$1,185.74	$1,489.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,128.20 / $2,251.90 / $4,750.79	Facility		$1,128.20	$2,251.90	$4,750.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,164.57 / $1,489.57 / $1,489.57	Professional		$1,164.57	$1,489.57	$1,489.57
United Facility/Professional Professional Modifier Low / Median / High Price $535.78 / $560.78 / $1,069.89	Professional		$535.78	$560.78	$1,069.89