Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,254.16 / $3,254.16 / $5,678.36	Facility		$3,254.16	$3,254.16	$5,678.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.87 / $1,109.56 / $1,266.21	Professional		$939.87	$1,109.56	$1,266.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,121.23 / $2,121.23 / $3,792.75	Facility		$2,121.23	$2,121.23	$3,792.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $2,866.44 / $3,434.93	Professional		$1,305.36	$2,866.44	$3,434.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $979.03 / $1,266.21 / $2,871.81	Facility		$979.03	$1,266.21	$2,871.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,435.91 / $1,762.25	Professional		$1,305.36	$1,435.91	$1,762.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,462.01 / $2,284.40	Facility		$1,305.36	$1,462.01	$2,284.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.44 / $1,566.44 / $3,792.75	Facility		$1,566.44	$1,566.44	$3,792.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,435.91 / $1,435.91 / $1,827.52	Professional		$1,435.91	$1,435.91	$1,827.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,610.73 / $4,226.79 / $5,124.49	Facility		$2,610.73	$4,226.79	$5,124.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,085.86 / $2,566.85 / $4,105.46	Professional		$2,085.86	$2,566.85	$4,105.46
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $1,566.44	Professional		$548.26	$548.26	$1,566.44