Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.21 / $1,278.71 / $6,803.35	Professional		$871.21	$1,278.71	$6,803.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,399.15 / $1,399.15 / $1,399.15	Facility		$1,399.15	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,399.15	Professional		$1,021.38	$1,021.38	$1,399.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.16 / $4,101.50 / $5,349.39	Professional		$1,492.16	$4,101.50	$5,349.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,278.71 / $1,751.83 / $2,131.65	Facility		$1,278.71	$1,751.83	$2,131.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.97 / $2,003.75 / $2,238.23	Professional		$1,584.97	$2,003.75	$2,238.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,692.06 / $2,131.65 / $2,476.51	Facility		$1,692.06	$2,131.65	$2,476.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,918.49 / $2,131.65 / $2,476.51	Professional		$1,918.49	$2,131.65	$2,476.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,278.71 / $1,828.56 / $2,238.23	Facility		$1,278.71	$1,828.56	$2,238.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,866.55 / $2,344.82	Professional		$1,021.38	$1,866.55	$2,344.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,775.98 / $3,544.88 / $7,478.52	Facility		$1,775.98	$3,544.88	$7,478.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,833.22 / $2,344.82 / $2,344.82	Professional		$1,833.22	$2,344.82	$2,344.82
United Facility/Professional Professional Modifier Low / Median / High Price $919.32 / $966.08 / $1,843.15	Professional		$919.32	$966.08	$1,843.15