Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.77 / $1,049.75 / $6,635.89	Professional		$747.77	$1,049.75	$6,635.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.72 / $1,232.72 / $1,232.72	Facility		$1,232.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,232.72	Professional		$899.89	$899.89	$1,232.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.21 / $3,656.20 / $4,768.58	Professional		$1,208.21	$3,656.20	$4,768.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,049.75 / $1,438.16 / $1,726.01	Facility		$1,049.75	$1,438.16	$1,726.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,283.35 / $1,639.71 / $1,726.01	Professional		$1,283.35	$1,639.71	$1,726.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,370.06 / $1,685.55 / $1,898.61	Facility		$1,370.06	$1,685.55	$1,898.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,371.16 / $1,726.01 / $1,726.01	Professional		$1,371.16	$1,726.01	$1,726.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,049.75 / $1,511.35 / $1,812.31	Facility		$1,049.75	$1,511.35	$1,812.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,511.35 / $1,898.61	Professional		$899.89	$1,511.35	$1,898.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,438.02 / $2,870.30 / $6,055.37	Facility		$1,438.02	$2,870.30	$6,055.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,484.37 / $1,898.61 / $1,898.61	Professional		$1,484.37	$1,898.61	$1,898.61
United Facility/Professional Professional Modifier Low / Median / High Price $822.70 / $861.09 / $1,642.84	Professional		$822.70	$861.09	$1,642.84