Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.36 / $2,747.00 / $7,920.26	Facility		$1,871.36	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.04 / $1,292.80 / $3,518.23	Professional		$857.04	$1,292.80	$3,518.23
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 $953.19 / $1,808.27 / $2,638.41	Professional		$953.19	$1,808.27	$2,638.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.40 / $1,971.47 / $2,420.05	Professional		$1,501.40	$1,971.47	$2,420.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,032.18 / $1,692.48 / $2,646.29	Facility		$1,032.18	$1,692.48	$2,646.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.49 / $1,678.30 / $2,797.16	Professional		$1,376.49	$1,678.30	$2,797.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,142.08 / $1,767.84 / $1,917.54	Facility		$1,142.08	$1,767.84	$1,917.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.26 / $1,918.99 / $2,646.29	Facility		$1,069.26	$1,918.99	$2,646.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,582.35 / $2,059.73 / $2,691.31	Professional		$1,582.35	$2,059.73	$2,691.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,749.15 / $2,222.34 / $2,694.69	Professional		$1,749.15	$2,222.34	$2,694.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,382.00 / $1,945.63 / $3,025.72	Professional		$1,382.00	$1,945.63	$3,025.72