Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.84 / $1,341.78 / $6,365.30	Professional		$716.84	$1,341.78	$6,365.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,427.14 / $1,427.14 / $1,427.14	Facility		$1,427.14	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,427.14	Professional		$1,041.81	$1,041.81	$1,427.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,544.31 / $3,504.91 / $4,571.29	Professional		$1,544.31	$3,504.91	$4,571.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.78 / $1,743.83 / $2,206.16	Facility		$1,341.78	$1,743.83	$2,206.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.37 / $2,046.73 / $2,316.46	Professional		$1,640.37	$2,046.73	$2,316.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,642.64 / $1,899.37 / $2,206.16	Facility		$1,642.64	$1,899.37	$2,206.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,682.06 / $2,206.16 / $2,294.41	Professional		$1,682.06	$2,206.16	$2,294.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,326.36 / $1,880.57 / $2,316.46	Facility		$1,326.36	$1,880.57	$2,316.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,931.79 / $2,426.78	Professional		$1,041.81	$1,931.79	$2,426.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,838.05 / $3,668.76 / $7,739.91	Facility		$1,838.05	$3,668.76	$7,739.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,897.30 / $2,426.78 / $2,426.78	Professional		$1,897.30	$2,426.78	$2,426.78
United Facility/Professional Professional Modifier Low / Median / High Price $788.67 / $825.47 / $1,615.84	Professional		$788.67	$825.47	$1,615.84