Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.79 / $1,247.49 / $7,890.68	Professional		$913.79	$1,247.49	$7,890.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,637.27 / $1,637.27 / $1,637.27	Facility		$1,637.27	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,637.27	Professional		$1,195.21	$1,195.21	$1,637.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.79 / $4,344.38 / $5,666.16	Professional		$1,435.79	$4,344.38	$5,666.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,247.49 / $1,709.06 / $2,105.73	Facility		$1,247.49	$1,709.06	$2,105.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,525.10 / $1,928.06 / $2,153.69	Professional		$1,525.10	$1,928.06	$2,153.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,628.15 / $2,051.13 / $2,256.23	Facility		$1,628.15	$2,051.13	$2,256.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,628.15 / $2,051.13 / $2,186.69	Professional		$1,628.15	$2,051.13	$2,186.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,247.49 / $1,796.04 / $2,153.69	Facility		$1,247.49	$1,796.04	$2,153.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,796.04 / $2,256.23	Professional		$1,195.21	$1,796.04	$2,256.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,708.89 / $3,410.96 / $7,196.01	Facility		$1,708.89	$3,410.96	$7,196.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,763.97 / $2,256.23 / $2,256.23	Professional		$1,763.97	$2,256.23	$2,256.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $977.66 / $1,023.29 / $1,952.30	Professional		$977.66	$1,023.29	$1,952.30