Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.74 / $1,026.58 / $5,706.66	Professional		$668.74	$1,026.58	$5,706.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,260.83 / $1,260.83 / $1,260.83	Facility		$1,260.83	$1,260.83	$1,260.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $920.41 / $1,260.83	Professional		$920.41	$920.41	$1,260.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.54 / $3,269.83 / $4,264.67	Professional		$1,181.54	$3,269.83	$4,264.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,026.58 / $1,406.41 / $1,687.92	Facility		$1,026.58	$1,406.41	$1,687.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.03 / $1,586.64 / $1,772.32	Professional		$1,255.03	$1,586.64	$1,772.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,519.13 / $1,675.15 / $1,886.89	Facility		$1,519.13	$1,675.15	$1,886.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,026.58 / $1,478.00 / $1,772.32	Facility		$1,026.58	$1,478.00	$1,772.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.41 / $1,478.00 / $1,856.71	Professional		$920.41	$1,478.00	$1,856.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,406.28 / $2,806.94 / $5,921.75	Facility		$1,406.28	$2,806.94	$5,921.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,451.61 / $1,856.71 / $1,856.71	Professional		$1,451.61	$1,856.71	$1,856.71
United Facility/Professional Professional Modifier Low / Median / High Price $735.75 / $770.08 / $1,469.22	Professional		$735.75	$770.08	$1,469.22