Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,511.89	Facility		$1,318.26	$1,621.81	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $2,290.87	Professional		$30.20	$47.86	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,137.96	Professional		$1,258.93	$1,548.82	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $2,187.76	Professional		$1,621.81	$1,819.70	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $5,011.87	Facility		$1,202.26	$1,202.26	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $1,445.44 / $2,454.71	Professional		$50.12	$1,445.44	$2,454.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,862.09	Facility		$1,230.27	$1,348.96	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $4,466.84 / $6,309.57	Facility		$67.61	$4,466.84	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,137.96	Professional		$79.43	$1,548.82	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $2,137.96	Professional		$1,513.56	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $83.18	Professional		$48.98	$64.57	$83.18