Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.88 / $1,411.81 / $6,790.58	Professional		$835.88	$1,411.81	$6,790.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,184.20	Professional		$864.47	$864.47	$1,184.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,647.49 / $3,738.57 / $4,876.04	Professional		$1,647.49	$3,738.57	$4,876.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,411.81 / $1,812.44 / $2,353.55	Facility		$1,411.81	$1,812.44	$2,353.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.64 / $2,183.46 / $2,353.55	Professional		$1,732.64	$2,183.46	$2,353.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,868.20 / $2,118.19 / $2,353.55	Facility		$1,868.20	$2,118.19	$2,353.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,116.78 / $2,353.55 / $2,588.91	Professional		$2,116.78	$2,353.55	$2,588.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,934.18 / $2,471.23	Facility		$1,184.20	$1,934.18	$2,471.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $2,060.85 / $2,588.91	Professional		$864.47	$2,060.85	$2,588.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,960.85 / $3,913.88 / $8,257.00	Facility		$1,960.85	$3,913.88	$8,257.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,024.05 / $2,588.91 / $2,588.91	Professional		$2,024.05	$2,588.91	$2,588.91
United Facility/Professional Professional Modifier Low / Median / High Price $828.93 / $880.62 / $1,680.11	Professional		$828.93	$880.62	$1,680.11