Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.86 / $1,275.75 / $7,308.86	Professional		$906.86	$1,275.75	$7,308.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $1,327.28	Facility		$1,327.28	$1,327.28	$1,327.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $968.91 / $1,327.28	Professional		$968.91	$968.91	$1,327.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.88 / $4,499.21 / $5,868.10	Professional		$1,486.88	$4,499.21	$5,868.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.18 / $1,745.63 / $2,124.12	Facility		$1,274.18	$1,745.63	$2,124.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,579.37 / $1,996.67 / $2,230.33	Professional		$1,579.37	$1,996.67	$2,230.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,686.08 / $2,124.12 / $2,437.52	Facility		$1,686.08	$2,124.12	$2,437.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,911.71 / $2,124.12 / $2,437.52	Professional		$1,911.71	$2,124.12	$2,437.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.18 / $1,824.32 / $2,230.33	Facility		$1,274.18	$1,824.32	$2,230.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,859.96 / $2,336.53	Professional		$968.91	$1,859.96	$2,336.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,769.70 / $3,532.34 / $7,452.12	Facility		$1,769.70	$3,532.34	$7,452.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,826.74 / $2,336.53 / $2,336.53	Professional		$1,826.74	$2,336.53	$2,336.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,398.59 / $3,398.59 / $4,531.46	Facility		$3,398.59	$3,398.59	$4,531.46
United Facility/Professional Professional Modifier Low / Median / High Price $997.49 / $1,059.70 / $2,021.77	Professional		$997.49	$1,059.70	$2,021.77