Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.92 / $1,758.45 / $4,029.12	Professional		$778.92	$1,758.45	$4,029.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.72 / $2,172.28 / $4,522.56	Professional		$1,235.72	$2,172.28	$4,522.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,556.66 / $1,977.13 / $4,017.98	Professional		$1,556.66	$1,977.13	$4,017.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.33 / $2,382.92 / $3,710.08	Professional		$1,260.33	$2,382.92	$3,710.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,402.88 / $2,480.59 / $4,394.82	Professional		$1,402.88	$2,480.59	$4,394.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,418.45 / $2,359.21 / $4,678.75	Professional		$1,418.45	$2,359.21	$4,678.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,395.12 / $3,551.69 / $5,115.77	Professional		$2,395.12	$3,551.69	$5,115.77