Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,888.44 / $5,888.44	Facility		$1,258.93	$5,888.44	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,548.82	Professional		$851.14	$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 $1,318.26 / $1,513.56 / $1,862.09	Professional		$1,318.26	$1,513.56	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $3,311.31	Professional		$1,318.26	$2,818.38	$3,311.31
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 $1,318.26 / $1,445.44 / $1,778.28	Professional		$1,318.26	$1,445.44	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Facility		$1,318.26	$1,318.26	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $3,467.37	Facility		$776.25	$1,548.82	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,380.38 / $1,819.70	Professional		$79.43	$1,380.38	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $5,128.61	Facility		$1,949.84	$3,801.89	$5,128.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,548.82	Professional		$977.24	$1,174.90	$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 $549.54 / $549.54 / $1,548.82	Professional		$549.54	$549.54	$1,548.82