Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.51 / $1,119.58 / $5,311.29	Professional		$821.51	$1,119.58	$5,311.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,329.56 / $1,329.56 / $1,329.56	Facility		$1,329.56	$1,329.56	$1,329.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $970.58 / $970.58	Professional		$970.58	$970.58	$970.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.59 / $3,568.84 / $4,654.66	Professional		$1,288.59	$3,568.84	$4,654.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,119.58 / $1,601.01 / $1,840.86	Facility		$1,119.58	$1,601.01	$1,840.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.74 / $1,730.41 / $1,932.90	Professional		$1,368.74	$1,730.41	$1,932.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,797.71 / $1,840.86 / $2,097.41	Facility		$1,797.71	$1,840.86	$2,097.41
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,462.39 / $1,462.39 / $1,462.39	Professional		$1,462.39	$1,462.39	$1,462.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,119.58 / $1,611.91 / $1,932.90	Facility		$1,119.58	$1,611.91	$1,932.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $970.58 / $1,611.91 / $2,024.95	Professional		$970.58	$1,611.91	$2,024.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,533.69 / $3,061.26 / $6,458.28	Facility		$1,533.69	$3,061.26	$6,458.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,583.14 / $2,024.95 / $2,024.95	Professional		$1,583.14	$2,024.95	$2,024.95
United Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $840.55 / $1,611.06	Professional		$803.08	$840.55	$1,611.06