Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.44 / $1,509.64 / $5,445.82	Professional		$970.44	$1,509.64	$5,445.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $1,179.41 / $1,179.41	Facility		$1,179.41	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,179.41	Professional		$860.97	$860.97	$1,179.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,761.64 / $3,997.80 / $5,214.14	Professional		$1,761.64	$3,997.80	$5,214.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,415.61 / $1,932.34 / $2,516.63	Facility		$1,415.61	$1,932.34	$2,516.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,871.22 / $2,365.63 / $2,516.63	Professional		$1,871.22	$2,365.63	$2,516.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,997.65 / $2,457.65 / $2,768.29	Facility		$1,997.65	$2,457.65	$2,768.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,139.14 / $2,516.63 / $2,768.29	Professional		$2,139.14	$2,516.63	$2,768.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.41 / $2,068.21 / $2,642.46	Facility		$1,179.41	$2,068.21	$2,642.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $2,203.66 / $2,768.29	Professional		$860.97	$2,203.66	$2,768.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,096.71 / $4,185.08 / $8,829.18	Facility		$2,096.71	$4,185.08	$8,829.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,164.30 / $2,768.29 / $2,768.29	Professional		$2,164.30	$2,768.29	$2,768.29
United Facility/Professional Professional Modifier Low / Median / High Price $886.37 / $941.64 / $1,796.53	Professional		$886.37	$941.64	$1,796.53