Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.45 / $1,202.46 / $6,748.59	Professional		$915.45	$1,202.46	$6,748.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,304.10 / $1,304.10 / $1,304.10	Facility		$1,304.10	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,304.10	Professional		$952.00	$952.00	$1,304.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.47 / $4,240.70 / $5,530.92	Professional		$1,401.47	$4,240.70	$5,530.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $1,645.36 / $2,002.10	Facility		$1,200.99	$1,645.36	$2,002.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.64 / $1,881.97 / $2,102.21	Professional		$1,488.64	$1,881.97	$2,102.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,589.23 / $2,002.10 / $2,405.73	Facility		$1,589.23	$2,002.10	$2,405.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,801.89 / $2,002.10 / $2,405.73	Professional		$1,801.89	$2,002.10	$2,405.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $1,719.53 / $2,102.21	Facility		$1,200.99	$1,719.53	$2,102.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,753.11 / $2,202.31	Professional		$952.00	$1,753.11	$2,202.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,668.04 / $3,329.42 / $7,024.01	Facility		$1,668.04	$3,329.42	$7,024.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,721.81 / $2,202.31 / $2,202.31	Professional		$1,721.81	$2,202.31	$2,202.31
United Facility/Professional Professional Modifier Low / Median / High Price $940.19 / $998.83 / $1,905.63	Professional		$940.19	$998.83	$1,905.63