Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.80 / $1,513.17 / $7,830.09	Professional		$881.80	$1,513.17	$7,830.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,271.83	Professional		$928.44	$928.44	$1,271.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,741.57 / $4,311.00 / $5,622.65	Professional		$1,741.57	$4,311.00	$5,622.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.17 / $2,073.04 / $2,487.96	Facility		$1,513.17	$2,073.04	$2,487.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,849.90 / $2,338.67 / $2,612.36	Professional		$1,849.90	$2,338.67	$2,612.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,974.89 / $2,238.92 / $2,487.96	Facility		$1,974.89	$2,238.92	$2,487.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,974.89 / $2,239.16 / $2,487.96	Professional		$1,974.89	$2,239.16	$2,487.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $2,120.78 / $2,612.36	Facility		$1,271.83	$2,120.78	$2,612.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $2,178.55 / $2,736.76	Professional		$928.44	$2,178.55	$2,736.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,072.84 / $4,137.39 / $8,728.58	Facility		$2,072.84	$4,137.39	$8,728.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,139.65 / $2,736.76 / $2,736.76	Professional		$2,139.65	$2,736.76	$2,736.76
United Facility/Professional Professional Modifier Low / Median / High Price $970.16 / $1,015.43 / $1,937.31	Professional		$970.16	$1,015.43	$1,937.31