Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.52 / $920.93 / $4,415.99	Professional		$650.52	$920.93	$4,415.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $843.35 / $843.35	Facility		$843.35	$843.35	$843.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $716.85 / $843.35	Professional		$716.85	$716.85	$843.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,059.94 / $2,858.62 / $3,728.36	Professional		$1,059.94	$2,858.62	$3,728.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $920.93 / $1,327.13 / $1,665.62	Facility		$920.93	$1,327.13	$1,665.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.72 / $1,438.49 / $1,589.91	Professional		$1,114.72	$1,438.49	$1,589.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,362.78 / $1,514.20 / $1,682.18	Facility		$1,362.78	$1,514.20	$1,682.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,202.90 / $1,202.90 / $1,202.90	Professional		$1,202.90	$1,202.90	$1,202.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $843.35 / $1,325.89 / $1,514.20	Facility		$843.35	$1,325.89	$1,514.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $716.85 / $1,325.89 / $1,665.62	Professional		$716.85	$1,325.89	$1,665.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,261.55 / $2,518.06 / $5,312.31	Facility		$1,261.55	$2,518.06	$5,312.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,317.35 / $1,665.62 / $1,665.62	Professional		$1,317.35	$1,665.62	$1,665.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,879.26	Facility		$2,159.44	$2,159.44	$2,879.26
United Facility/Professional Professional Modifier Low / Median / High Price $643.30 / $673.33 / $1,284.61	Professional		$643.30	$673.33	$1,284.61