Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,888.44 / $5,888.44	Facility		$1,096.48	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,548.82	Professional		$758.58	$1,000.00	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $3,801.89	Facility		$2,137.96	$2,137.96	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $3,467.37	Professional		$1,318.26	$2,818.38	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,819.70	Professional		$1,096.48	$1,548.82	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,041.74	Facility		$1,174.90	$1,445.44	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $3,467.37	Facility		$977.24	$1,819.70	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $1,819.70	Professional		$79.43	$1,445.44	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $4,786.30	Facility		$2,290.87	$3,890.45	$4,786.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,548.82	Professional		$1,047.13	$1,096.48	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,089.30	Facility		$1,548.82	$1,548.82	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,348.96	Professional		$467.74	$467.74	$1,348.96