Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.99 / $1,300.11 / $6,167.68	Professional		$953.99	$1,300.11	$6,167.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,222.54 / $1,222.54	Facility		$1,222.54	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $1,222.54	Professional		$892.45	$892.45	$1,222.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,496.36 / $4,144.10 / $5,404.95	Professional		$1,496.36	$4,144.10	$5,404.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,300.11 / $1,781.16 / $2,137.66	Facility		$1,300.11	$1,781.16	$2,137.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.43 / $2,009.40 / $2,244.54	Professional		$1,589.43	$2,009.40	$2,244.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,696.81 / $2,137.66 / $2,351.42	Facility		$1,696.81	$2,137.66	$2,351.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,923.89 / $2,137.66 / $2,351.42	Professional		$1,923.89	$2,137.66	$2,351.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,222.54 / $1,835.94 / $2,244.54	Facility		$1,222.54	$1,835.94	$2,244.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,871.81 / $2,351.42	Professional		$892.45	$1,871.81	$2,351.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,780.98 / $3,554.86 / $7,499.59	Facility		$1,780.98	$3,554.86	$7,499.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,838.39 / $2,351.42 / $2,351.42	Professional		$1,838.39	$2,351.42	$2,351.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,130.40 / $3,130.40 / $4,173.87	Facility		$3,130.40	$3,130.40	$4,173.87
United Facility/Professional Professional Modifier Low / Median / High Price $932.56 / $976.08 / $1,862.23	Professional		$932.56	$976.08	$1,862.23