Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.16 / $1,495.90 / $5,952.89	Professional		$825.16	$1,495.90	$5,952.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,551.30	Facility		$1,551.30	$1,551.30	$1,551.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,551.30	Professional		$1,132.45	$1,132.45	$1,551.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,721.71 / $4,034.03 / $5,261.38	Professional		$1,721.71	$4,034.03	$5,261.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.90 / $2,049.38 / $2,459.58	Facility		$1,495.90	$2,049.38	$2,459.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.79 / $2,312.01 / $2,582.56	Professional		$1,828.79	$2,312.01	$2,582.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,008.83 / $2,401.92 / $2,705.54	Facility		$2,008.83	$2,401.92	$2,705.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,441.74 / $2,139.14 / $2,582.56	Facility		$1,441.74	$2,139.14	$2,582.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $2,153.69 / $2,705.54	Professional		$1,132.45	$2,153.69	$2,705.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,049.17 / $4,090.18 / $8,628.96	Facility		$2,049.17	$4,090.18	$8,628.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,115.23 / $2,705.54 / $2,705.54	Professional		$2,115.23	$2,705.54	$2,705.54
United Facility/Professional Professional Modifier Low / Median / High Price $907.84 / $950.20 / $1,812.86	Professional		$907.84	$950.20	$1,812.86