Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.32 / $1,079.14 / $6,385.91	Professional		$813.32	$1,079.14	$6,385.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,037.25	Facility		$1,037.25	$1,037.25	$1,037.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,037.25	Professional		$757.19	$757.19	$1,037.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.28 / $3,658.84 / $4,586.12	Professional		$1,259.28	$3,658.84	$4,586.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,079.14 / $1,576.71 / $1,798.97	Facility		$1,079.14	$1,576.71	$1,798.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.37 / $1,709.02 / $1,888.92	Professional		$1,324.37	$1,709.02	$1,888.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,637.23 / $1,756.81 / $1,978.87	Facility		$1,637.23	$1,756.81	$1,978.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,079.14 / $1,575.24 / $1,888.92	Facility		$1,079.14	$1,575.24	$1,888.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,575.24 / $1,978.87	Professional		$757.19	$1,575.24	$1,978.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,498.80 / $2,991.62 / $6,311.36	Facility		$1,498.80	$2,991.62	$6,311.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,547.11 / $1,978.87 / $1,978.87	Professional		$1,547.11	$1,978.87	$1,978.87
United Facility/Professional Professional Modifier Low / Median / High Price $788.06 / $828.14 / $1,579.99	Professional		$788.06	$828.14	$1,579.99