Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.46 / $1,417.43 / $6,947.15	Professional		$906.46	$1,417.43	$6,947.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.82 / $1,132.82 / $1,132.82	Facility		$1,132.82	$1,132.82	$1,132.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $826.96 / $1,132.82	Professional		$826.96	$826.96	$1,132.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,631.38 / $3,840.14 / $5,008.50	Professional		$1,631.38	$3,840.14	$5,008.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,417.43 / $1,861.45 / $2,330.54	Facility		$1,417.43	$1,861.45	$2,330.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,732.85 / $2,190.71 / $2,447.07	Professional		$1,732.85	$2,190.71	$2,447.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,770.43 / $1,994.21 / $2,330.54	Facility		$1,770.43	$1,994.21	$2,330.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,812.92 / $2,097.48 / $2,330.54	Professional		$1,812.92	$2,097.48	$2,330.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.60 / $1,960.95 / $2,447.07	Facility		$1,167.60	$1,960.95	$2,447.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.96 / $2,040.71 / $2,563.59	Professional		$826.96	$2,040.71	$2,563.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,941.68 / $3,875.60 / $8,176.31	Facility		$1,941.68	$3,875.60	$8,176.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,004.26 / $2,563.59 / $2,563.59	Professional		$2,004.26	$2,563.59	$2,563.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,052.80 / $1,052.80	Facility		$1,052.80	$1,052.80	$1,052.80
United Facility/Professional Professional Modifier Low / Median / High Price $864.13 / $904.45 / $1,725.57	Professional		$864.13	$904.45	$1,725.57