Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.34 / $1,421.83 / $6,891.32	Professional		$847.34	$1,421.83	$6,891.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,186.93 / $1,186.93	Facility		$1,186.93	$1,186.93	$1,186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $866.46 / $1,186.93	Professional		$866.46	$866.46	$1,186.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.18 / $3,794.69 / $4,949.22	Professional		$1,659.18	$3,794.69	$4,949.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.83 / $1,834.81 / $2,370.26	Facility		$1,421.83	$1,834.81	$2,370.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,762.38 / $2,228.04 / $2,488.77	Professional		$1,762.38	$2,228.04	$2,488.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,974.80 / $2,314.71 / $2,607.29	Facility		$1,974.80	$2,314.71	$2,607.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,882.97 / $1,882.97 / $1,882.97	Professional		$1,882.97	$1,882.97	$1,882.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,186.93 / $1,947.91 / $2,488.77	Facility		$1,186.93	$1,947.91	$2,488.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $866.46 / $2,075.48 / $2,607.29	Professional		$866.46	$2,075.48	$2,607.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,974.77 / $3,941.66 / $8,315.62	Facility		$1,974.77	$3,941.66	$8,315.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,038.42 / $2,607.29 / $2,607.29	Professional		$2,038.42	$2,607.29	$2,607.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,193.78 / $1,193.78 / $1,193.78	Facility		$1,193.78	$1,193.78	$1,193.78
United Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $893.69 / $1,705.04	Professional		$832.90	$893.69	$1,705.04