Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.03 / $1,109.94 / $6,618.47	Professional		$832.03	$1,109.94	$6,618.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.63 / $1,212.63 / $1,212.63	Facility		$1,212.63	$1,212.63	$1,212.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,212.63	Professional		$885.22	$885.22	$1,212.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.22 / $3,644.11 / $4,752.85	Professional		$1,295.22	$3,644.11	$4,752.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,109.94 / $1,520.62 / $1,850.32	Facility		$1,109.94	$1,520.62	$1,850.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.78 / $1,739.30 / $1,850.32	Professional		$1,375.78	$1,739.30	$1,850.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,468.74 / $1,720.43 / $1,892.47	Facility		$1,468.74	$1,720.43	$1,892.47
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,665.29 / $1,850.32 / $1,892.47	Professional		$1,665.29	$1,850.32	$1,892.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.94 / $1,587.21 / $1,942.84	Facility		$1,109.94	$1,587.21	$1,942.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,620.20 / $2,035.35	Professional		$885.22	$1,620.20	$2,035.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,541.58 / $3,077.00 / $6,491.49	Facility		$1,541.58	$3,077.00	$6,491.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,591.28 / $2,035.35 / $2,035.35	Professional		$1,591.28	$2,035.35	$2,035.35
United Facility/Professional Professional Modifier Low / Median / High Price $807.92 / $858.30 / $1,637.53	Professional		$807.92	$858.30	$1,637.53