Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.80 / $1,078.64 / $5,188.07	Professional		$790.80	$1,078.64	$5,188.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.78 / $1,191.78 / $1,191.78	Facility		$1,191.78	$1,191.78	$1,191.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $870.00 / $1,191.78	Professional		$870.00	$870.00	$1,191.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.69 / $3,485.74 / $4,546.29	Professional		$1,258.69	$3,485.74	$4,546.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,078.64 / $1,477.74 / $1,798.13	Facility		$1,078.64	$1,477.74	$1,798.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.98 / $1,690.24 / $1,888.04	Professional		$1,336.98	$1,690.24	$1,888.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,427.33 / $1,798.13 / $1,977.94	Facility		$1,427.33	$1,798.13	$1,977.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,618.32 / $1,798.13 / $1,977.94	Professional		$1,618.32	$1,798.13	$1,977.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,078.64 / $1,574.51 / $1,888.04	Facility		$1,078.64	$1,574.51	$1,888.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,574.51 / $1,977.94	Professional		$870.00	$1,574.51	$1,977.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,498.11 / $2,990.24 / $6,308.43	Facility		$1,498.11	$2,990.24	$6,308.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,546.39 / $1,977.94 / $1,977.94	Professional		$1,546.39	$1,977.94	$1,977.94
United Facility/Professional Professional Modifier Low / Median / High Price $772.87 / $821.06 / $1,566.48	Professional		$772.87	$821.06	$1,566.48