Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.46 / $1,190.64 / $6,202.52	Professional		$824.46	$1,190.64	$6,202.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,107.01 / $1,107.01	Facility		$1,107.01	$1,107.01	$1,107.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $1,107.01	Professional		$808.12	$808.12	$1,107.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,389.40 / $3,752.78 / $4,894.58	Professional		$1,389.40	$3,752.78	$4,894.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,190.64 / $1,631.18 / $1,984.86	Facility		$1,190.64	$1,631.18	$1,984.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.83 / $1,865.77 / $2,084.10	Professional		$1,475.83	$1,865.77	$2,084.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,575.54 / $1,984.86 / $2,269.88	Facility		$1,575.54	$1,984.86	$2,269.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,885.62 / $1,984.86 / $2,269.88	Professional		$1,885.62	$1,984.86	$2,269.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,107.01 / $1,702.62 / $2,084.10	Facility		$1,107.01	$1,702.62	$2,084.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,738.01 / $2,183.35	Professional		$808.12	$1,738.01	$2,183.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,653.67 / $3,300.74 / $6,963.51	Facility		$1,653.67	$3,300.74	$6,963.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,706.98 / $2,183.35 / $2,183.35	Professional		$1,706.98	$2,183.35	$2,183.35
United Facility/Professional Professional Modifier Low / Median / High Price $831.96 / $883.84 / $1,686.25	Professional		$831.96	$883.84	$1,686.25