Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.86 / $1,439.15 / $6,827.23	Professional		$768.86	$1,439.15	$6,827.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,530.70 / $1,530.70 / $1,530.70	Facility		$1,530.70	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $1,180.41	Professional		$1,117.41	$1,117.41	$1,180.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.38 / $3,759.17 / $4,902.91	Professional		$1,656.38	$3,759.17	$4,902.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.15 / $1,842.11 / $2,366.26	Facility		$1,439.15	$1,842.11	$2,366.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,759.40 / $2,129.63 / $2,484.57	Professional		$1,759.40	$2,129.63	$2,484.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,845.15 / $2,078.37 / $2,366.26	Facility		$1,845.15	$2,078.37	$2,366.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,889.43 / $2,129.63 / $2,366.26	Professional		$1,889.43	$2,129.63	$2,366.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,422.61 / $1,981.98 / $2,484.57	Facility		$1,422.61	$1,981.98	$2,484.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $2,071.98 / $2,602.89	Professional		$1,117.41	$2,071.98	$2,602.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,971.44 / $3,935.00 / $8,301.60	Facility		$1,971.44	$3,935.00	$8,301.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,034.98 / $2,602.89 / $2,602.89	Professional		$2,034.98	$2,602.89	$2,602.89
United Facility/Professional Professional Modifier Low / Median / High Price $845.90 / $885.38 / $1,689.18	Professional		$845.90	$885.38	$1,689.18