Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.79 / $1,159.95 / $5,572.30	Professional		$837.79	$1,159.95	$5,572.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,206.80 / $1,206.80 / $1,206.80	Facility		$1,206.80	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,206.80	Professional		$880.96	$880.96	$1,206.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,351.92 / $4,090.83 / $5,335.47	Professional		$1,351.92	$4,090.83	$5,335.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.52 / $1,587.17 / $1,931.31	Facility		$1,158.52	$1,587.17	$1,931.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.00 / $1,815.43 / $2,027.88	Professional		$1,436.00	$1,815.43	$2,027.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,533.03 / $1,931.31 / $2,575.08	Facility		$1,533.03	$1,931.31	$2,575.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,931.31 / $2,575.08	Professional		$1,738.18	$1,931.31	$2,575.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,158.52 / $1,691.12 / $2,027.88	Facility		$1,158.52	$1,691.12	$2,027.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,691.12 / $2,124.44	Professional		$880.96	$1,691.12	$2,124.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,609.06 / $3,211.70 / $6,775.64	Facility		$1,609.06	$3,211.70	$6,775.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,660.93 / $2,124.44 / $2,124.44	Professional		$1,660.93	$2,124.44	$2,124.44
United Facility/Professional Professional Modifier Low / Median / High Price $916.87 / $963.51 / $1,838.25	Professional		$916.87	$963.51	$1,838.25