Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.42 / $1,318.64 / $5,854.58	Professional		$926.42	$1,318.64	$5,854.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $1,650.90	Facility		$1,650.90	$1,650.90	$1,650.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,650.90	Professional		$1,403.27	$1,403.27	$1,650.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.41 / $3,934.60 / $5,131.68	Professional		$1,420.41	$3,934.60	$5,131.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,234.11 / $2,029.15 / $2,826.05	Facility		$1,234.11	$2,029.15	$2,826.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,907.40 / $2,130.61 / $2,415.42	Professional		$1,907.40	$2,130.61	$2,415.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,981.59 / $2,029.15 / $2,316.62	Facility		$1,981.59	$2,029.15	$2,316.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,234.11 / $1,931.37 / $2,753.75	Facility		$1,234.11	$1,931.37	$2,753.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,776.79 / $2,459.10	Professional		$1,403.27	$1,776.79	$2,459.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,690.57 / $3,374.40 / $7,118.89	Facility		$1,690.57	$3,374.40	$7,118.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,765.36 / $2,232.07 / $2,232.07	Professional		$1,765.36	$2,232.07	$2,232.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.69 / $1,224.69 / $1,224.69	Facility		$1,224.69	$1,224.69	$1,224.69
United Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,088.49 / $2,162.13	Professional		$926.78	$1,088.49	$2,162.13