Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.00 / $1,342.91 / $7,747.64	Professional		$978.00	$1,342.91	$7,747.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,544.16 / $1,544.16 / $1,544.16	Facility		$1,544.16	$1,544.16	$1,544.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,127.24 / $1,544.16	Professional		$1,127.24	$1,127.24	$1,544.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,567.08 / $4,265.55 / $5,563.35	Professional		$1,567.08	$4,265.55	$5,563.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $1,839.79 / $2,238.67	Facility		$1,342.91	$1,839.79	$2,238.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.55 / $2,104.36 / $2,350.61	Professional		$1,664.55	$2,104.36	$2,350.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,777.01 / $2,014.81 / $2,238.67	Facility		$1,777.01	$2,014.81	$2,238.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,778.44 / $2,238.67 / $2,238.67	Professional		$1,778.44	$2,238.67	$2,238.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $1,920.36 / $2,350.61	Facility		$1,342.91	$1,920.36	$2,350.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,127.24 / $1,960.27 / $2,462.55	Professional		$1,127.24	$1,960.27	$2,462.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,865.15 / $3,722.86 / $7,854.02	Facility		$1,865.15	$3,722.86	$7,854.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,925.26 / $2,462.55 / $2,462.55	Professional		$1,925.26	$2,462.55	$2,462.55
United Facility/Professional Professional Modifier Low / Median / High Price $945.76 / $1,004.74 / $1,916.90	Professional		$945.76	$1,004.74	$1,916.90