Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.92 / $887.07 / $4,208.21	Professional		$650.92	$887.07	$4,208.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $705.98 / $967.10	Professional		$705.98	$705.98	$967.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,020.96 / $2,827.38 / $3,687.60	Professional		$1,020.96	$2,827.38	$3,687.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.07 / $1,268.51 / $1,494.39	Facility		$887.07	$1,268.51	$1,494.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.47 / $1,371.01 / $1,531.45	Professional		$1,084.47	$1,371.01	$1,531.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,424.34 / $1,458.52 / $1,661.84	Facility		$1,424.34	$1,458.52	$1,661.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,038.64 / $1,038.64 / $1,158.67	Professional		$1,038.64	$1,038.64	$1,158.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.07 / $1,277.14 / $1,531.45	Facility		$887.07	$1,277.14	$1,531.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $1,277.14 / $1,604.37	Professional		$705.98	$1,277.14	$1,604.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,215.17 / $2,425.48 / $5,116.99	Facility		$1,215.17	$2,425.48	$5,116.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,254.33 / $1,604.37 / $1,604.37	Professional		$1,254.33	$1,604.37	$1,604.37
United Facility/Professional Professional Modifier Low / Median / High Price $636.30 / $666.00 / $1,270.64	Professional		$636.30	$666.00	$1,270.64