Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.75 / $1,071.27 / $6,826.77	Professional		$832.75	$1,071.27	$6,826.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,395.53 / $1,395.53 / $1,395.53	Facility		$1,395.53	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $1,395.53	Professional		$1,018.74	$1,018.74	$1,395.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,248.57 / $3,778.34 / $4,927.91	Professional		$1,248.57	$3,778.34	$4,927.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.96 / $1,465.85 / $1,783.67	Facility		$1,069.96	$1,465.85	$1,783.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.22 / $1,676.65 / $1,872.85	Professional		$1,326.22	$1,676.65	$1,872.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,415.83 / $1,741.87 / $1,962.04	Facility		$1,415.83	$1,741.87	$1,962.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,605.30 / $1,783.67 / $2,229.59	Professional		$1,605.30	$1,783.67	$2,229.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.96 / $1,530.04 / $1,872.85	Facility		$1,069.96	$1,530.04	$1,872.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,561.84 / $1,962.04	Professional		$1,018.74	$1,561.84	$1,962.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,486.06 / $2,966.18 / $6,257.67	Facility		$1,486.06	$2,966.18	$6,257.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,533.96 / $1,962.04 / $1,962.04	Professional		$1,533.96	$1,962.04	$1,962.04
United Facility/Professional Professional Modifier Low / Median / High Price $837.61 / $889.85 / $1,697.72	Professional		$837.61	$889.85	$1,697.72