Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,586.18 / $7,586.18 / $7,586.18	Facility		$7,586.18	$7,586.18	$7,586.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.90 / $1,084.44 / $1,084.44	Professional		$1,050.90	$1,084.44	$1,084.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,833.93 / $2,833.93 / $5,067.06	Facility		$2,833.93	$2,833.93	$5,067.06
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 $1,743.95 / $3,828.78 / $4,588.14	Professional		$1,743.95	$3,828.78	$4,588.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.44 / $1,550.75 / $2,723.23	Facility		$1,084.44	$1,550.75	$2,723.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,092.73 / $2,441.53	Professional		$1,743.95	$2,092.73	$2,441.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,743.95 / $1,953.22 / $3,051.91	Facility		$1,743.95	$1,953.22	$3,051.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.44 / $2,214.82 / $3,836.69	Facility		$1,084.44	$2,214.82	$3,836.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,918.35 / $1,918.35 / $2,441.53	Professional		$1,918.35	$1,918.35	$2,441.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,151.14 / $5,147.97 / $6,369.43	Facility		$3,151.14	$5,147.97	$6,369.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,105.35 / $2,970.98 / $5,484.61	Professional		$2,105.35	$2,970.98	$5,484.61
United Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $469.55 / $1,743.95	Professional		$469.55	$469.55	$1,743.95