Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.28 / $787.50 / $3,735.87	Professional		$585.28	$787.50	$3,735.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $809.08 / $809.08 / $809.08	Facility		$809.08	$809.08	$809.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $687.72 / $809.08	Professional		$687.72	$687.72	$809.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.37 / $2,742.85 / $3,577.36	Professional		$906.37	$2,742.85	$3,577.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,103.72 / $1,329.08	Facility		$787.50	$1,103.72	$1,329.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $962.75 / $1,217.13 / $1,294.82	Professional		$962.75	$1,217.13	$1,294.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,165.33 / $1,264.47 / $1,424.30	Facility		$1,165.33	$1,264.47	$1,424.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,078.88 / $1,294.82	Facility		$787.50	$1,078.88	$1,294.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.72 / $1,133.79 / $1,424.30	Professional		$687.72	$1,133.79	$1,424.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,078.77 / $2,153.23 / $4,542.64	Facility		$1,078.77	$2,153.23	$4,542.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,126.49 / $1,424.30 / $1,424.30	Professional		$1,126.49	$1,424.30	$1,424.30
United Facility/Professional Professional Modifier Low / Median / High Price $617.16 / $645.97 / $1,238.10	Professional		$617.16	$645.97	$1,238.10