Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.03 / $1,151.58 / $6,092.11	Professional		$757.03	$1,151.58	$6,092.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,375.24	Professional		$1,003.93	$1,003.93	$1,375.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.42 / $3,700.94 / $4,826.93	Professional		$1,325.42	$3,700.94	$4,826.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,151.58 / $1,577.68 / $1,893.45	Facility		$1,151.58	$1,577.68	$1,893.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,407.85 / $1,779.84 / $1,988.12	Professional		$1,407.85	$1,779.84	$1,988.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,502.98 / $1,893.45 / $2,082.80	Facility		$1,502.98	$1,893.45	$2,082.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,704.11 / $1,893.45 / $2,023.28	Professional		$1,704.11	$1,893.45	$2,023.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.58 / $1,626.20 / $1,988.12	Facility		$1,151.58	$1,626.20	$1,988.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,657.97 / $2,082.80	Professional		$1,003.93	$1,657.97	$2,082.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,577.52 / $3,148.74 / $6,642.82	Facility		$1,577.52	$3,148.74	$6,642.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,628.37 / $2,082.80 / $2,082.80	Professional		$1,628.37	$2,082.80	$2,082.80
United Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $871.76 / $1,663.20	Professional		$832.90	$871.76	$1,663.20