Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.84 / $948.29 / $4,498.64	Professional		$695.84	$948.29	$4,498.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $891.71 / $891.71	Facility		$891.71	$891.71	$891.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $650.95 / $891.71	Professional		$650.95	$650.95	$891.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.43 / $3,022.67 / $3,942.32	Professional		$1,091.43	$3,022.67	$3,942.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $948.29 / $1,356.05 / $1,597.45	Facility		$948.29	$1,356.05	$1,597.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.31 / $1,481.23 / $1,637.15	Professional		$1,159.31	$1,481.23	$1,637.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,522.65 / $1,559.19 / $1,776.47	Facility		$1,522.65	$1,559.19	$1,776.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,238.63 / $1,238.63 / $1,238.63	Professional		$1,238.63	$1,238.63	$1,238.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.71 / $1,365.28 / $1,637.15	Facility		$891.71	$1,365.28	$1,637.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $1,365.28 / $1,715.11	Professional		$650.95	$1,365.28	$1,715.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,299.03 / $2,592.88 / $5,470.13	Facility		$1,299.03	$2,592.88	$5,470.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,340.90 / $1,715.11 / $1,715.11	Professional		$1,340.90	$1,715.11	$1,715.11
United Facility/Professional Professional Modifier Low / Median / High Price $680.20 / $711.94 / $1,358.30	Professional		$680.20	$711.94	$1,358.30