Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.13 / $967.67 / $1,188.33	Professional		$836.13	$967.67	$1,188.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.33 / $1,076.33 / $1,076.33	Facility		$1,076.33	$1,076.33	$1,076.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.00 / $2,178.38 / $2,839.02	Professional		$1,373.00	$2,178.38	$2,839.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,835.89 / $2,241.25 / $2,568.94	Professional		$1,835.89	$2,241.25	$2,568.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $871.26 / $1,140.08 / $2,122.31	Facility		$871.26	$1,140.08	$2,122.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.70 / $899.60 / $946.95	Facility		$674.70	$899.60	$946.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.53 / $1,140.08 / $2,156.46	Facility		$922.53	$1,140.08	$2,156.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,136.33 / $1,846.55 / $2,614.38	Professional		$1,136.33	$1,846.55	$2,614.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $1,651.93 / $2,122.73	Facility		$1,318.75	$1,651.93	$2,122.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,418.04 / $1,851.33 / $2,488.13	Professional		$1,418.04	$1,851.33	$2,488.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,395.95 / $1,957.01 / $3,057.57	Professional		$1,395.95	$1,957.01	$3,057.57