Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $29,611.11	Facility		$2,747.00	$7,920.26	$29,611.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,887.04 / $2,728.42 / $3,217.50	Professional		$1,887.04	$2,728.42	$3,217.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,726.86 / $4,602.67 / $6,183.49	Professional		$1,726.86	$4,602.67	$6,183.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.91 / $4,280.33 / $5,408.35	Professional		$3,138.91	$4,280.33	$5,408.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,282.31 / $2,970.17 / $5,866.10	Facility		$1,282.31	$2,970.17	$5,866.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $752.58 / $17,150.38 / $18,772.80	Professional		$752.58	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $614.47 / $884.35 / $3,613.88	Facility		$614.47	$884.35	$3,613.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,128.88 / $2,970.17 / $5,866.10	Facility		$1,128.88	$2,970.17	$5,866.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.22 / $4,055.47 / $6,153.44	Professional		$1,061.22	$4,055.47	$6,153.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,849.48 / $4,907.78 / $5,930.40	Professional		$3,849.48	$4,907.78	$5,930.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,913.27 / $4,144.47 / $6,935.41	Professional		$2,913.27	$4,144.47	$6,935.41