Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.60 / $1,029.66 / $4,884.62	Professional		$643.60	$1,029.66	$4,884.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,232.20 / $1,232.20 / $1,232.20	Facility		$1,232.20	$1,232.20	$1,232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $899.51 / $1,232.20	Professional		$899.51	$899.51	$1,232.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $3,144.83 / $4,101.64	Professional		$1,185.08	$3,144.83	$4,101.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,029.66 / $1,410.63 / $1,692.97	Facility		$1,029.66	$1,410.63	$1,692.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.77 / $1,591.39 / $1,692.97	Professional		$1,258.77	$1,591.39	$1,692.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,343.83 / $1,642.85 / $1,807.14	Facility		$1,343.83	$1,642.85	$1,807.14
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,523.67 / $1,642.85 / $1,692.97	Professional		$1,523.67	$1,642.85	$1,692.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,029.66 / $1,454.02 / $1,777.62	Facility		$1,029.66	$1,454.02	$1,777.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,482.42 / $1,862.27	Professional		$899.51	$1,482.42	$1,862.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,410.49 / $2,815.34 / $5,939.46	Facility		$1,410.49	$2,815.34	$5,939.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,455.95 / $1,862.27 / $1,862.27	Professional		$1,455.95	$1,862.27	$1,862.27
United Facility/Professional Professional Modifier Low / Median / High Price $697.25 / $740.73 / $1,419.73	Professional		$697.25	$740.73	$1,419.73