Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.14 / $998.22 / $4,479.49	Professional		$635.14	$998.22	$4,479.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.99 / $1,105.99 / $1,105.99	Facility		$1,105.99	$1,105.99	$1,105.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $807.37 / $1,105.99	Professional		$807.37	$807.37	$1,105.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.90 / $2,924.67 / $3,814.51	Professional		$1,148.90	$2,924.67	$3,814.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.22 / $1,367.56 / $1,641.29	Facility		$998.22	$1,367.56	$1,641.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.35 / $1,542.81 / $1,723.35	Professional		$1,220.35	$1,542.81	$1,723.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,302.83 / $1,477.16 / $1,641.29	Facility		$1,302.83	$1,477.16	$1,641.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,303.85 / $1,559.23 / $1,641.29	Professional		$1,303.85	$1,559.23	$1,641.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.22 / $1,409.64 / $1,723.35	Facility		$998.22	$1,409.64	$1,723.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $807.37 / $1,437.17 / $1,805.42	Professional		$807.37	$1,437.17	$1,805.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,367.43 / $2,729.40 / $5,758.17	Facility		$1,367.43	$2,729.40	$5,758.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,411.51 / $1,805.42 / $1,805.42	Professional		$1,411.51	$1,805.42	$1,805.42
United Facility/Professional Professional Modifier Low / Median / High Price $658.06 / $688.77 / $1,314.08	Professional		$658.06	$688.77	$1,314.08