Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.44 / $1,172.84 / $6,604.31	Professional		$789.44	$1,172.84	$6,604.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.53 / $1,473.53 / $1,473.53	Facility		$1,473.53	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,473.53	Professional		$1,075.68	$1,075.68	$1,473.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,349.89 / $3,636.29 / $4,742.64	Professional		$1,349.89	$3,636.29	$4,742.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.84 / $1,606.80 / $1,928.42	Facility		$1,172.84	$1,606.80	$1,928.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.85 / $1,812.71 / $2,024.84	Professional		$1,433.85	$1,812.71	$2,024.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,530.74 / $1,735.58 / $1,928.42	Facility		$1,530.74	$1,735.58	$1,928.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,531.96 / $1,928.42 / $1,928.42	Professional		$1,531.96	$1,928.42	$1,928.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.84 / $1,688.59 / $2,024.84	Facility		$1,172.84	$1,688.59	$2,024.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,688.59 / $2,121.26	Professional		$1,075.68	$1,688.59	$2,121.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,560.18 / $3,516.63 / $7,393.33	Facility		$1,560.18	$3,516.63	$7,393.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,658.44 / $2,121.26 / $2,121.26	Professional		$1,658.44	$2,121.26	$2,121.26
United Facility/Professional Professional Modifier Low / Median / High Price $818.29 / $856.46 / $1,634.03	Professional		$818.29	$856.46	$1,634.03