Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.87 / $1,065.08 / $4,144.67	Professional		$444.87	$1,065.08	$4,144.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $517.14 / $517.14	Professional		$517.14	$517.14	$517.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.91 / $2,407.69 / $3,025.45	Professional		$903.91	$2,407.69	$3,025.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.37 / $1,118.33 / $1,508.76	Facility		$870.37	$1,118.33	$1,508.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $960.13 / $1,226.74 / $1,355.87	Professional		$960.13	$1,226.74	$1,355.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,113.25 / $1,261.04 / $1,291.30	Facility		$1,113.25	$1,261.04	$1,291.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $680.44 / $1,130.71 / $1,619.33	Facility		$680.44	$1,130.71	$1,619.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.14 / $1,130.71 / $1,366.97	Professional		$517.14	$1,130.71	$1,366.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,075.83 / $2,147.38 / $4,530.30	Facility		$1,075.83	$2,147.38	$4,530.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,110.52 / $1,420.43 / $1,420.43	Professional		$1,110.52	$1,420.43	$1,420.43
United Facility/Professional Professional Modifier Low / Median / High Price $505.94 / $537.49 / $1,025.47	Professional		$505.94	$537.49	$1,025.47