Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,672.18 / $5,672.18 / $5,672.18	Facility		$5,672.18	$5,672.18	$5,672.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.92 / $1,084.44 / $2,542.69	Professional		$964.92	$1,084.44	$2,542.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.92 / $2,118.92 / $3,788.64	Facility		$2,118.92	$2,118.92	$3,788.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.38 / $894.38 / $894.38	Professional		$894.38	$894.38	$894.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $2,862.87 / $3,430.69	Professional		$1,303.95	$2,862.87	$3,430.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.96 / $1,173.56 / $2,723.23	Facility		$977.96	$1,173.56	$2,723.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,825.53	Professional		$1,303.95	$1,564.74	$1,825.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,460.42 / $2,281.91	Facility		$1,303.95	$1,460.42	$2,281.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.44 / $1,656.02 / $2,868.69	Facility		$1,084.44	$1,656.02	$2,868.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.35 / $1,434.35 / $1,825.53	Professional		$1,434.35	$1,434.35	$1,825.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,607.90 / $4,222.18 / $4,762.42	Facility		$2,607.90	$4,222.18	$4,762.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,083.69 / $2,564.12 / $4,101.20	Professional		$2,083.69	$2,564.12	$4,101.20
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $1,341.58	Professional		$469.55	$469.55	$1,341.58