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 / $1,266.21 / $1,266.21	Professional		$939.87	$1,266.21	$1,266.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,121.23 / $3,266.69 / $3,792.75	Facility		$2,121.23	$3,266.69	$3,792.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.98 / $1,500.02 / $1,875.02	Professional		$1,304.98	$1,500.02	$1,875.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $3,183.60 / $3,434.93	Professional		$1,305.36	$3,183.60	$3,434.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,305.36 / $2,722.35	Facility		$783.22	$1,305.36	$2,722.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $1,762.25	Professional		$1,305.36	$1,305.36	$1,762.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,370.64 / $1,827.52	Facility		$1,305.36	$1,370.64	$1,827.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.22 / $1,392.83 / $3,266.69	Facility		$783.22	$1,392.83	$3,266.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.09 / $1,435.91 / $1,827.52	Professional		$1,240.09	$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 $1,169.08 / $1,558.77 / $3,218.00	Professional		$1,169.08	$1,558.77	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.26 / $548.26 / $1,566.44	Professional		$548.26	$548.26	$1,566.44