Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.52 / $1,284.45 / $6,093.35	Professional		$942.52	$1,284.45	$6,093.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,207.83	Professional		$881.72	$881.72	$1,207.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,478.34 / $4,094.40 / $5,340.12	Professional		$1,478.34	$4,094.40	$5,340.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,284.45 / $1,759.70 / $2,111.91	Facility		$1,284.45	$1,759.70	$2,111.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.28 / $1,985.20 / $2,217.51	Professional		$1,570.28	$1,985.20	$2,217.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,676.38 / $2,111.91 / $2,323.10	Facility		$1,676.38	$2,111.91	$2,323.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,677.72 / $2,111.91 / $2,217.51	Professional		$1,677.72	$2,111.91	$2,217.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,813.84 / $2,217.51	Facility		$1,207.83	$1,813.84	$2,217.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,849.26 / $2,323.10	Professional		$881.72	$1,849.26	$2,323.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,759.52 / $3,512.02 / $7,409.25	Facility		$1,759.52	$3,512.02	$7,409.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,816.24 / $2,323.10 / $2,323.10	Professional		$1,816.24	$2,323.10	$2,323.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $921.34 / $964.33 / $1,839.83	Professional		$921.34	$964.33	$1,839.83