Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.07 / $1,545.09 / $6,994.72	Professional		$863.07	$1,545.09	$6,994.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,207.09	Professional		$881.18	$881.18	$1,207.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,803.02 / $4,091.55 / $5,336.41	Professional		$1,803.02	$4,091.55	$5,336.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,405.48 / $1,977.72 / $2,575.73	Facility		$1,405.48	$1,977.72	$2,575.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,915.15 / $2,421.19 / $2,704.53	Professional		$1,915.15	$2,421.19	$2,704.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,886.53 / $2,217.55 / $2,575.73	Facility		$1,886.53	$2,217.55	$2,575.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,931.80 / $2,575.73 / $2,575.73	Professional		$1,931.80	$2,575.73	$2,575.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $2,116.77 / $2,704.53	Facility		$1,207.09	$2,116.77	$2,704.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $2,255.40 / $2,833.31	Professional		$881.18	$2,255.40	$2,833.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,145.96 / $4,283.35 / $9,036.49	Facility		$2,145.96	$4,283.35	$9,036.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,215.14 / $2,833.31 / $2,833.31	Professional		$2,215.14	$2,833.31	$2,833.31
United Facility/Professional Professional Modifier Low / Median / High Price $907.18 / $963.76 / $1,847.20	Professional		$907.18	$963.76	$1,847.20