Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.67 / $1,273.51 / $6,125.35	Professional		$933.67	$1,273.51	$6,125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,540.39	Professional		$1,124.48	$1,124.48	$1,540.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.10 / $4,115.71 / $5,367.90	Professional		$1,486.10	$4,115.71	$5,367.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,273.51 / $1,744.71 / $2,123.00	Facility		$1,273.51	$1,744.71	$2,123.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.53 / $1,995.62 / $2,229.15	Professional		$1,578.53	$1,995.62	$2,229.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,685.19 / $2,123.00 / $2,335.30	Facility		$1,685.19	$2,123.00	$2,335.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,910.70 / $2,123.00 / $2,199.00	Professional		$1,910.70	$2,123.00	$2,199.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,273.51 / $1,858.97 / $2,229.15	Facility		$1,273.51	$1,858.97	$2,229.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,858.97 / $2,335.30	Professional		$1,124.48	$1,858.97	$2,335.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,768.76 / $3,530.46 / $7,448.15	Facility		$1,768.76	$3,530.46	$7,448.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,825.78 / $2,335.30 / $2,335.30	Professional		$1,825.78	$2,335.30	$2,335.30
United Facility/Professional Professional Modifier Low / Median / High Price $912.49 / $969.40 / $1,849.48	Professional		$912.49	$969.40	$1,849.48