Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.33 / $1,304.31 / $5,389.95	Professional		$809.33	$1,304.31	$5,389.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,167.30 / $1,167.30	Facility		$1,167.30	$1,167.30	$1,167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,167.30	Professional		$852.13	$852.13	$1,167.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.19 / $3,956.62 / $5,160.41	Professional		$1,501.19	$3,956.62	$5,160.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.31 / $1,786.90 / $2,144.55	Facility		$1,304.31	$1,786.90	$2,144.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.55 / $2,015.88 / $2,251.78	Professional		$1,594.55	$2,015.88	$2,251.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,702.29 / $2,144.55 / $2,490.80	Facility		$1,702.29	$2,144.55	$2,490.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,930.10 / $2,144.55 / $2,490.80	Professional		$1,930.10	$2,144.55	$2,490.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.30 / $1,841.87 / $2,251.78	Facility		$1,167.30	$1,841.87	$2,251.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,877.85 / $2,359.01	Professional		$852.13	$1,877.85	$2,359.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,786.73 / $3,566.32 / $7,523.79	Facility		$1,786.73	$3,566.32	$7,523.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,844.31 / $2,359.01 / $2,359.01	Professional		$1,844.31	$2,359.01	$2,359.01
United Facility/Professional Professional Modifier Low / Median / High Price $890.42 / $931.98 / $1,778.09	Professional		$890.42	$931.98	$1,778.09