Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.47 / $1,179.89 / $5,597.32	Professional		$840.47	$1,179.89	$5,597.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,254.96 / $1,254.96 / $1,254.96	Facility		$1,254.96	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,254.96	Professional		$916.12	$916.12	$1,254.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.99 / $4,109.32 / $5,359.57	Professional		$1,357.99	$4,109.32	$5,359.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,179.89 / $1,616.45 / $1,939.99	Facility		$1,179.89	$1,616.45	$1,939.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.45 / $1,799.79 / $2,036.99	Professional		$1,442.45	$1,799.79	$2,036.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,745.99 / $1,894.52 / $2,133.98	Facility		$1,745.99	$1,894.52	$2,133.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,166.33 / $1,687.24 / $2,036.99	Facility		$1,166.33	$1,687.24	$2,036.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,698.72 / $2,133.98	Professional		$916.12	$1,698.72	$2,133.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,616.29 / $3,226.12 / $6,806.09	Facility		$1,616.29	$3,226.12	$6,806.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,668.39 / $2,133.98 / $2,133.98	Professional		$1,668.39	$2,133.98	$2,133.98
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $920.99 / $967.84 / $1,846.51	Professional		$920.99	$967.84	$1,846.51