Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.50 / $1,643.28 / $8,798.95	Professional		$976.50	$1,643.28	$8,798.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,499.97 / $1,499.97 / $1,499.97	Facility		$1,499.97	$1,499.97	$1,499.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,499.97	Professional		$1,094.98	$1,094.98	$1,499.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,917.60 / $4,844.39 / $6,318.29	Professional		$1,917.60	$4,844.39	$6,318.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,643.28 / $2,251.29 / $2,739.43	Facility		$1,643.28	$2,251.29	$2,739.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,036.87 / $2,465.48 / $2,739.43	Professional		$2,036.87	$2,465.48	$2,739.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,174.48 / $2,665.30 / $2,931.83	Facility		$2,174.48	$2,665.30	$2,931.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,174.48 / $2,665.30 / $2,739.43	Professional		$2,174.48	$2,665.30	$2,739.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,468.86 / $2,348.53 / $2,876.40	Facility		$1,468.86	$2,348.53	$2,876.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $2,398.73 / $3,013.37	Professional		$1,094.98	$2,398.73	$3,013.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,282.34 / $4,555.56 / $9,610.79	Facility		$2,282.34	$4,555.56	$9,610.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,355.91 / $3,013.37 / $3,013.37	Professional		$2,355.91	$3,013.37	$3,013.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,074.09 / $1,141.07 / $2,177.02	Professional		$1,074.09	$1,141.07	$2,177.02