Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.11 / $1,429.03 / $6,779.20	Professional		$881.11	$1,429.03	$6,779.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,498.90 / $1,498.90 / $1,498.90	Facility		$1,498.90	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,498.90	Professional		$1,094.20	$1,094.20	$1,498.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,644.73 / $3,732.89 / $4,868.64	Professional		$1,644.73	$3,732.89	$4,868.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.27 / $1,829.16 / $2,349.61	Facility		$1,412.27	$1,829.16	$2,349.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,747.03 / $2,208.63 / $2,467.09	Professional		$1,747.03	$2,208.63	$2,467.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,720.91 / $2,022.88 / $2,349.61	Facility		$1,720.91	$2,022.88	$2,349.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,762.21 / $2,349.61 / $2,584.57	Professional		$1,762.21	$2,349.61	$2,584.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,393.05 / $1,957.77 / $2,467.09	Facility		$1,393.05	$1,957.77	$2,467.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $2,057.40 / $2,584.57	Professional		$1,094.20	$2,057.40	$2,584.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,957.57 / $3,907.32 / $8,243.18	Facility		$1,957.57	$3,907.32	$8,243.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,020.66 / $2,584.57 / $2,584.57	Professional		$2,020.66	$2,584.57	$2,584.57
United Facility/Professional Professional Modifier Low / Median / High Price $839.95 / $879.14 / $1,677.30	Professional		$839.95	$879.14	$1,677.30