Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.64 / $1,175.13 / $5,635.31	Professional		$941.64	$1,175.13	$5,635.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,316.65 / $1,316.65 / $1,316.65	Facility		$1,316.65	$1,316.65	$1,316.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $1,316.65	Professional		$961.15	$961.15	$1,316.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,352.52 / $3,764.14 / $4,909.38	Professional		$1,352.52	$3,764.14	$4,909.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,175.13 / $1,609.93 / $1,932.17	Facility		$1,175.13	$1,609.93	$1,932.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.65 / $1,816.24 / $2,028.78	Professional		$1,436.65	$1,816.24	$2,028.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,533.73 / $1,886.88 / $2,089.55	Facility		$1,533.73	$1,886.88	$2,089.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,835.56 / $1,932.17 / $2,125.39	Professional		$1,835.56	$1,932.17	$2,125.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,175.13 / $1,659.48 / $2,028.78	Facility		$1,175.13	$1,659.48	$2,028.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,691.87 / $2,125.39	Professional		$961.15	$1,691.87	$2,125.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,609.77 / $3,213.12 / $6,778.65	Facility		$1,609.77	$3,213.12	$6,778.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,661.67 / $2,125.39 / $2,125.39	Professional		$1,661.67	$2,125.39	$2,125.39
United Facility/Professional Professional Modifier Low / Median / High Price $847.08 / $886.60 / $1,691.52	Professional		$847.08	$886.60	$1,691.52