Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,888.44	Facility		$1,698.24	$2,454.71	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $2,041.74	Professional		$707.95	$933.25	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,819.70	Facility		$1,148.15	$1,445.44	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,754.23	Professional		$1,380.38	$1,949.84	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $2,754.23	Professional		$1,148.15	$2,398.83	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,511.89	Facility		$1,047.13	$1,584.89	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,019.95	Professional		$1,698.24	$2,398.83	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,819.70	Facility		$1,479.11	$1,778.28	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,715.35	Facility		$1,148.15	$1,698.24	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,905.46 / $2,691.53	Professional		$79.43	$1,905.46	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,412.54 / $1,995.26	Facility		$398.11	$1,412.54	$1,995.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,344.23	Professional		$1,548.82	$1,819.70	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,819.70	Facility		$1,122.02	$1,412.54	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $912.01 / $2,511.89	Professional		$891.25	$912.01	$2,511.89