Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.64 / $1,269.67 / $8,030.97	Professional		$923.64	$1,269.67	$8,030.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,620.00	Professional		$1,182.59	$1,182.59	$1,620.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,461.32 / $4,421.81 / $5,767.13	Professional		$1,461.32	$4,421.81	$5,767.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,269.67 / $1,739.45 / $2,097.59	Facility		$1,269.67	$1,739.45	$2,097.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.21 / $1,962.34 / $2,087.60	Professional		$1,552.21	$1,962.34	$2,087.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,657.09 / $2,087.60 / $2,363.76	Facility		$1,657.09	$2,087.60	$2,363.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,878.84 / $2,087.60 / $2,363.76	Professional		$1,878.84	$2,087.60	$2,363.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,269.67 / $1,815.63 / $2,191.98	Facility		$1,269.67	$1,815.63	$2,191.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,827.97 / $2,296.36	Professional		$1,182.59	$1,827.97	$2,296.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,739.27 / $3,471.60 / $7,323.94	Facility		$1,739.27	$3,471.60	$7,323.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,795.34 / $2,296.36 / $2,296.36	Professional		$1,795.34	$2,296.36	$2,296.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.15 / $3,340.15 / $4,453.54	Facility		$3,340.15	$3,340.15	$4,453.54
United Facility/Professional Professional Modifier Low / Median / High Price $991.07 / $1,041.48 / $1,987.01	Professional		$991.07	$1,041.48	$1,987.01