Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.78 / $1,584.85 / $8,743.32	Professional		$987.78	$1,584.85	$8,743.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $1,424.68 / $1,424.68	Facility		$1,424.68	$1,424.68	$1,424.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $1,424.68	Professional		$1,040.02	$1,040.02	$1,424.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.07 / $4,829.47 / $6,298.84	Professional		$1,824.07	$4,829.47	$6,298.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.85 / $2,171.23 / $2,605.82	Facility		$1,584.85	$2,171.23	$2,605.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,937.53 / $2,449.46 / $2,736.11	Professional		$1,937.53	$2,449.46	$2,736.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,068.44 / $2,453.64 / $2,699.00	Facility		$2,068.44	$2,453.64	$2,699.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,345.23 / $2,605.82 / $2,605.82	Professional		$2,345.23	$2,605.82	$2,605.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,424.68 / $2,238.06 / $2,736.11	Facility		$1,424.68	$2,238.06	$2,736.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $2,281.75 / $2,866.40	Professional		$1,040.02	$2,281.75	$2,866.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,171.03 / $4,333.39 / $9,142.06	Facility		$2,171.03	$4,333.39	$9,142.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,241.01 / $2,866.40 / $2,866.40	Professional		$2,241.01	$2,866.40	$2,866.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.76 / $1,137.47 / $2,170.14	Professional		$1,086.76	$1,137.47	$2,170.14