Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.55 / $1,418.92 / $6,829.90	Professional		$904.55	$1,418.92	$6,829.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,606.19 / $1,606.19 / $1,606.19	Facility		$1,606.19	$1,606.19	$1,606.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $1,172.52 / $1,606.19	Professional		$1,172.52	$1,172.52	$1,606.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,633.10 / $4,422.52 / $5,768.06	Professional		$1,633.10	$4,422.52	$5,768.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,418.92 / $1,943.92 / $2,333.00	Facility		$1,418.92	$1,943.92	$2,333.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,734.67 / $2,193.02 / $2,449.65	Professional		$1,734.67	$2,193.02	$2,449.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,038.96 / $2,278.32 / $2,566.30	Facility		$2,038.96	$2,278.32	$2,566.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,853.36 / $1,932.86 / $1,932.86	Professional		$1,853.36	$1,932.86	$1,932.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,418.92 / $2,003.71 / $2,449.65	Facility		$1,418.92	$2,003.71	$2,449.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,172.52 / $2,042.85 / $2,566.30	Professional		$1,172.52	$2,042.85	$2,566.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,943.72 / $3,879.68 / $8,184.88	Facility		$1,943.72	$3,879.68	$8,184.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,006.38 / $2,566.30 / $2,566.30	Professional		$2,006.38	$2,566.30	$2,566.30
United Facility/Professional Professional Modifier Low / Median / High Price $995.19 / $1,041.63 / $1,987.29	Professional		$995.19	$1,041.63	$1,987.29