Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.26 / $1,208.86 / $5,814.44	Professional		$886.26	$1,208.86	$5,814.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,335.63	Facility		$1,335.63	$1,335.63	$1,335.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,335.63	Professional		$975.01	$975.01	$1,335.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,410.66 / $3,906.90 / $5,095.58	Professional		$1,410.66	$3,906.90	$5,095.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.86 / $1,656.15 / $2,015.23	Facility		$1,208.86	$1,656.15	$2,015.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,498.40 / $1,894.32 / $2,115.98	Professional		$1,498.40	$1,894.32	$2,115.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,599.64 / $2,015.23 / $2,216.75	Facility		$1,599.64	$2,015.23	$2,216.75
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,813.71 / $2,015.23 / $2,115.98	Professional		$1,813.71	$2,015.23	$2,115.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,208.86 / $1,764.61 / $2,115.98	Facility		$1,208.86	$1,764.61	$2,115.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,764.61 / $2,216.75	Professional		$975.01	$1,764.61	$2,216.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,678.98 / $3,351.26 / $7,070.09	Facility		$1,678.98	$3,351.26	$7,070.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,733.10 / $2,216.75 / $2,216.75	Professional		$1,733.10	$2,216.75	$2,216.75
United Facility/Professional Professional Modifier Low / Median / High Price $875.64 / $920.18 / $1,755.58	Professional		$875.64	$920.18	$1,755.58