Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.18 / $1,179.09 / $7,018.39	Professional		$855.18	$1,179.09	$7,018.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.58 / $1,573.58 / $1,573.58	Facility		$1,573.58	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,573.58	Professional		$1,148.71	$1,148.71	$1,573.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.09 / $3,864.28 / $5,039.99	Professional		$1,357.09	$3,864.28	$5,039.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.09 / $1,615.37 / $1,938.70	Facility		$1,179.09	$1,615.37	$1,938.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.49 / $1,822.38 / $2,035.64	Professional		$1,441.49	$1,822.38	$2,035.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,538.90 / $1,938.70 / $2,132.57	Facility		$1,538.90	$1,938.70	$2,132.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,647.90 / $1,938.70 / $2,051.81	Professional		$1,647.90	$1,938.70	$2,051.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,179.09 / $1,665.08 / $2,035.64	Facility		$1,179.09	$1,665.08	$2,035.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,697.59 / $2,132.57	Professional		$1,148.71	$1,697.59	$2,132.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,615.21 / $3,223.98 / $6,801.56	Facility		$1,615.21	$3,223.98	$6,801.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,667.28 / $2,132.57 / $2,132.57	Professional		$1,667.28	$2,132.57	$2,132.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $869.59 / $910.17 / $1,736.48	Professional		$869.59	$910.17	$1,736.48