Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.37 / $1,617.51 / $7,210.49	Professional		$940.37	$1,617.51	$7,210.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,306.07	Professional		$953.43	$953.43	$1,306.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,887.52 / $4,427.47 / $5,774.55	Professional		$1,887.52	$4,427.47	$5,774.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,567.64 / $2,145.83 / $2,696.46	Facility		$1,567.64	$2,145.83	$2,696.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.93 / $2,534.67 / $2,831.28	Professional		$2,004.93	$2,534.67	$2,831.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,140.39 / $2,426.81 / $2,696.46	Facility		$2,140.39	$2,426.81	$2,696.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,291.98 / $2,426.81 / $2,696.46	Professional		$2,291.98	$2,426.81	$2,696.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.94 / $2,215.98 / $2,831.28	Facility		$1,342.94	$2,215.98	$2,831.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $2,361.11 / $2,966.11	Professional		$953.43	$2,361.11	$2,966.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,246.54 / $4,484.12 / $9,460.02	Facility		$2,246.54	$4,484.12	$9,460.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,318.96 / $2,966.11 / $2,966.11	Professional		$2,318.96	$2,966.11	$2,966.11
United Facility/Professional Professional Modifier Low / Median / High Price $981.56 / $1,042.77 / $2,041.20	Professional		$981.56	$1,042.77	$2,041.20