Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.16 / $1,615.12 / $8,351.67	Professional		$941.16	$1,615.12	$8,351.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,599.98	Professional		$1,167.99	$1,167.99	$1,599.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,858.91 / $4,601.49 / $6,001.49	Professional		$1,858.91	$4,601.49	$6,001.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,615.12 / $2,212.71 / $2,655.59	Facility		$1,615.12	$2,212.71	$2,655.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.53 / $2,496.25 / $2,788.37	Professional		$1,974.53	$2,496.25	$2,788.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,107.94 / $2,438.06 / $2,681.87	Facility		$2,107.94	$2,438.06	$2,681.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,438.06 / $2,655.59 / $2,788.37	Professional		$2,438.06	$2,655.59	$2,788.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,486.99 / $2,263.66 / $2,788.37	Facility		$1,486.99	$2,263.66	$2,788.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $2,325.33 / $2,921.15	Professional		$1,167.99	$2,325.33	$2,921.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,212.48 / $4,416.14 / $9,316.67	Facility		$2,212.48	$4,416.14	$9,316.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,283.81 / $2,921.15 / $2,921.15	Professional		$2,283.81	$2,921.15	$2,921.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.46 / $1,083.78 / $2,067.71	Professional		$1,035.46	$1,083.78	$2,067.71