Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,149.84 / $3,149.84 / $5,496.36	Facility		$3,149.84	$3,149.84	$5,496.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $909.74 / $1,074.00 / $1,225.61	Professional		$909.74	$1,074.00	$1,225.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,053.23 / $2,053.23 / $3,671.17	Facility		$2,053.23	$2,053.23	$3,671.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $2,774.11 / $3,324.30	Professional		$1,263.53	$2,774.11	$3,324.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $935.01 / $1,225.61 / $2,779.77	Facility		$935.01	$1,225.61	$2,779.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,263.53 / $1,705.77	Professional		$1,263.53	$1,263.53	$1,705.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,263.53 / $1,326.71 / $1,768.94	Facility		$1,263.53	$1,326.71	$1,768.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.65 / $1,516.24 / $3,352.37	Facility		$947.65	$1,516.24	$3,352.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.88 / $1,389.88 / $1,768.94	Professional		$1,389.88	$1,389.88	$1,768.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,403.82 / $4,091.31 / $4,960.24	Facility		$3,403.82	$4,091.31	$4,960.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,019.25 / $2,962.78 / $3,974.37	Professional		$2,019.25	$2,962.78	$3,974.37
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $530.67 / $1,326.71	Professional		$530.67	$530.67	$1,326.71