Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.27 / $1,256.19 / $2,608.46	Professional		$886.27	$1,256.19	$2,608.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.86 / $1,916.58 / $3,016.04	Professional		$1,106.86	$1,916.58	$3,016.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,863.84 / $2,406.05 / $2,910.64	Professional		$1,863.84	$2,406.05	$2,910.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.16 / $1,771.36 / $2,646.29	Facility		$1,096.16	$1,771.36	$2,646.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.72 / $1,846.66 / $2,965.85	Professional		$1,527.72	$1,846.66	$2,965.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,304.86 / $1,901.02 / $2,327.58	Facility		$1,304.86	$1,901.02	$2,327.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.16 / $1,823.63 / $2,970.74	Facility		$1,096.16	$1,823.63	$2,970.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,627.20 / $2,291.83 / $3,019.32	Professional		$1,627.20	$2,291.83	$3,019.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,682.03 / $2,363.38 / $3,167.72	Professional		$1,682.03	$2,363.38	$3,167.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.79 / $1,789.91 / $2,909.48	Professional		$1,276.79	$1,789.91	$2,909.48