Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.66 / $1,314.96 / $6,188.81	Professional		$865.66	$1,314.96	$6,188.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,576.65 / $1,576.65 / $1,576.65	Facility		$1,576.65	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,576.65	Professional		$1,150.95	$1,150.95	$1,576.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.45 / $3,973.66 / $5,182.63	Professional		$1,513.45	$3,973.66	$5,182.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,314.96 / $1,801.50 / $2,162.07	Facility		$1,314.96	$1,801.50	$2,162.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.57 / $2,032.35 / $2,162.07	Professional		$1,607.57	$2,032.35	$2,162.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,716.19 / $2,162.07 / $2,378.28	Facility		$1,716.19	$2,162.07	$2,378.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,716.19 / $2,162.07 / $2,257.79	Professional		$1,716.19	$2,162.07	$2,257.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,314.96 / $1,856.90 / $2,270.17	Facility		$1,314.96	$1,856.90	$2,270.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,893.18 / $2,378.28	Professional		$1,150.95	$1,893.18	$2,378.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,801.31 / $3,595.42 / $7,585.21	Facility		$1,801.31	$3,595.42	$7,585.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,859.38 / $2,378.28 / $2,378.28	Professional		$1,859.38	$2,378.28	$2,378.28
United Facility/Professional Professional Modifier Low / Median / High Price $894.27 / $936.00 / $1,832.19	Professional		$894.27	$936.00	$1,832.19