Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.90 / $1,293.23 / $6,134.99	Professional		$690.90	$1,293.23	$6,134.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,020.64	Professional		$745.07	$745.07	$1,020.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,488.44 / $3,377.78 / $4,405.47	Professional		$1,488.44	$3,377.78	$4,405.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,293.23 / $1,655.33 / $2,126.34	Facility		$1,293.23	$1,655.33	$2,126.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,581.01 / $1,913.71 / $2,232.66	Professional		$1,581.01	$1,913.71	$2,232.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,557.38 / $1,754.23 / $2,126.34	Facility		$1,557.38	$1,754.23	$2,126.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,594.75 / $1,687.83 / $2,126.34	Professional		$1,594.75	$1,687.83	$2,126.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.30 / $1,781.01 / $2,232.66	Facility		$1,065.30	$1,781.01	$2,232.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,861.90 / $2,338.96	Professional		$745.07	$1,861.90	$2,338.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,771.55 / $3,536.02 / $7,459.89	Facility		$1,771.55	$3,536.02	$7,459.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,828.65 / $2,338.96 / $2,338.96	Professional		$1,828.65	$2,338.96	$2,338.96
United Facility/Professional Professional Modifier Low / Median / High Price $760.13 / $795.61 / $1,517.91	Professional		$760.13	$795.61	$1,517.91