Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,330.75 / $3,330.75 / $5,811.99	Facility		$3,330.75	$3,330.75	$5,811.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.98 / $1,135.68 / $1,296.01	Professional		$961.98	$1,135.68	$1,296.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,171.15 / $2,171.15 / $3,882.02	Facility		$2,171.15	$2,171.15	$3,882.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $2,933.91 / $3,515.80	Professional		$1,336.09	$2,933.91	$3,515.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.71 / $1,296.01 / $2,939.40	Facility		$988.71	$1,296.01	$2,939.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $1,803.72	Professional		$1,336.09	$1,336.09	$1,803.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,336.09 / $1,336.09 / $2,004.14	Facility		$1,336.09	$1,336.09	$2,004.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,603.31 / $3,517.26	Facility		$1,002.07	$1,603.31	$3,517.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,469.70 / $1,469.70 / $1,870.53	Professional		$1,469.70	$1,469.70	$1,870.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,599.29 / $4,326.26 / $5,245.09	Facility		$3,599.29	$4,326.26	$5,245.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,135.13 / $3,132.93 / $4,202.45	Professional		$2,135.13	$3,132.93	$4,202.45
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $561.16 / $1,402.89	Professional		$561.16	$561.16	$1,402.89