Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.66 / $1,124.13 / $5,304.62	Professional		$724.66	$1,124.13	$5,304.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,006.48 / $1,006.48 / $1,006.48	Facility		$1,006.48	$1,006.48	$1,006.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $734.73 / $1,006.48	Professional		$734.73	$734.73	$1,006.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.79 / $3,411.87 / $4,449.93	Professional		$1,311.79	$3,411.87	$4,449.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,124.13 / $1,540.06 / $1,873.98	Facility		$1,124.13	$1,540.06	$1,873.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.37 / $1,761.54 / $1,967.68	Professional		$1,393.37	$1,761.54	$1,967.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,487.51 / $1,686.58 / $1,873.98	Facility		$1,487.51	$1,686.58	$1,873.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,488.70 / $1,873.98 / $1,873.98	Professional		$1,488.70	$1,873.98	$1,873.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.38 / $1,607.51 / $1,967.68	Facility		$968.38	$1,607.51	$1,967.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.73 / $1,640.92 / $2,061.38	Professional		$734.73	$1,640.92	$2,061.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,561.29 / $3,116.34 / $6,574.51	Facility		$1,561.29	$3,116.34	$6,574.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,611.62 / $2,061.38 / $2,061.38	Professional		$1,611.62	$2,061.38	$2,061.38
United Facility/Professional Facility Modifier Low / Median / High Price $820.00 / $820.00 / $820.00	Facility		$820.00	$820.00	$820.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.40 / $803.57 / $1,533.11	Professional		$756.40	$803.57	$1,533.11