Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.89 / $1,124.77 / $5,258.51	Professional		$684.89	$1,124.77	$5,258.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,025.33 / $1,025.33	Facility		$1,025.33	$1,025.33	$1,025.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $748.49 / $1,025.33	Professional		$748.49	$748.49	$1,025.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,312.53 / $3,397.67 / $4,431.39	Professional		$1,312.53	$3,397.67	$4,431.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,124.77 / $1,540.93 / $1,875.04	Facility		$1,124.77	$1,540.93	$1,875.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.16 / $1,762.54 / $1,968.79	Professional		$1,394.16	$1,762.54	$1,968.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,488.36 / $1,875.04 / $2,062.54	Facility		$1,488.36	$1,875.04	$2,062.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,687.54 / $1,875.04 / $1,993.43	Professional		$1,687.54	$1,875.04	$1,993.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,025.33 / $1,608.42 / $1,968.79	Facility		$1,025.33	$1,608.42	$1,968.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,641.85 / $2,062.54	Professional		$748.49	$1,641.85	$2,062.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,562.18 / $3,118.12 / $6,578.24	Facility		$1,562.18	$3,118.12	$6,578.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,612.53 / $2,062.54 / $2,062.54	Professional		$1,612.53	$2,062.54	$2,062.54
United Facility/Professional Professional Modifier Low / Median / High Price $761.57 / $800.32 / $1,526.89	Professional		$761.57	$800.32	$1,526.89