Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.54 / $1,044.95 / $4,766.14	Professional		$775.54	$1,044.95	$4,766.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,324.18 / $1,324.18 / $1,324.18	Facility		$1,324.18	$1,324.18	$1,324.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $966.65 / $1,324.18	Professional		$966.65	$966.65	$1,324.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.68 / $3,499.23 / $4,563.87	Professional		$1,202.68	$3,499.23	$4,563.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.95 / $1,431.58 / $1,718.12	Facility		$1,044.95	$1,431.58	$1,718.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.48 / $1,615.03 / $1,804.03	Professional		$1,277.48	$1,615.03	$1,804.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,363.80 / $1,718.12 / $2,202.54	Facility		$1,363.80	$1,718.12	$2,202.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,460.40 / $1,718.12 / $2,202.54	Professional		$1,460.40	$1,718.12	$2,202.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.95 / $1,494.28 / $1,804.03	Facility		$1,044.95	$1,494.28	$1,804.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.65 / $1,504.44 / $1,889.93	Professional		$966.65	$1,504.44	$1,889.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,431.44 / $2,857.16 / $6,027.69	Facility		$1,431.44	$2,857.16	$6,027.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,477.58 / $1,889.93 / $1,889.93	Professional		$1,477.58	$1,889.93	$1,889.93
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.37 / $824.12 / $1,572.31	Professional		$787.37	$824.12	$1,572.31