Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.34 / $1,209.27 / $5,736.71	Professional		$887.34	$1,209.27	$5,736.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,317.79 / $1,317.79 / $1,317.79	Facility		$1,317.79	$1,317.79	$1,317.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,317.79	Professional		$961.99	$961.99	$1,317.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,391.80 / $3,854.34 / $5,027.04	Professional		$1,391.80	$3,854.34	$5,027.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,209.27 / $1,656.70 / $1,988.29	Facility		$1,209.27	$1,656.70	$1,988.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,478.37 / $1,844.61 / $1,988.29	Professional		$1,478.37	$1,844.61	$1,988.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,789.46 / $1,988.29 / $2,265.42	Facility		$1,789.46	$1,988.29	$2,265.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,209.27 / $1,707.66 / $2,087.69	Facility		$1,209.27	$1,707.66	$2,087.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,741.02 / $2,187.12	Professional		$961.99	$1,741.02	$2,187.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,656.54 / $3,306.46 / $6,975.57	Facility		$1,656.54	$3,306.46	$6,975.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,709.93 / $2,187.12 / $2,187.12	Professional		$1,709.93	$2,187.12	$2,187.12
United Facility/Professional Professional Modifier Low / Median / High Price $867.41 / $907.89 / $1,732.13	Professional		$867.41	$907.89	$1,732.13