Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.43 / $1,119.47 / $7,080.92	Professional		$797.43	$1,119.47	$7,080.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.48 / $1,408.48 / $1,408.48	Facility		$1,408.48	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,408.48	Professional		$1,028.19	$1,028.19	$1,408.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.45 / $3,899.08 / $5,085.38	Professional		$1,288.45	$3,899.08	$5,085.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,119.47 / $1,533.67 / $1,840.64	Facility		$1,119.47	$1,533.67	$1,840.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.59 / $1,730.20 / $1,932.67	Professional		$1,368.59	$1,730.20	$1,932.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,656.58 / $1,840.64 / $2,454.19	Facility		$1,656.58	$1,840.64	$2,454.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,462.23 / $1,462.23 / $1,462.23	Professional		$1,462.23	$1,462.23	$1,462.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,119.47 / $1,600.84 / $1,932.67	Facility		$1,119.47	$1,600.84	$1,932.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,611.73 / $2,024.70	Professional		$1,028.19	$1,611.73	$2,024.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,533.52 / $3,060.92 / $6,457.56	Facility		$1,533.52	$3,060.92	$6,457.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,582.95 / $2,024.70 / $2,024.70	Professional		$1,582.95	$2,024.70	$2,024.70
United Facility/Professional Professional Modifier Low / Median / High Price $877.34 / $918.28 / $1,751.95	Professional		$877.34	$918.28	$1,751.95