Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.39 / $4,520.18 / $4,885.35	Facility		$1,710.39	$4,520.18	$4,885.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $1,168.18 / $2,461.84	Professional		$523.79	$1,168.18	$2,461.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,145.69 / $1,432.12 / $1,833.11	Facility		$1,145.69	$1,432.12	$1,833.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.16 / $1,940.27 / $2,674.79	Professional		$1,271.16	$1,940.27	$2,674.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,007.00 / $2,316.12 / $2,718.52	Professional		$2,007.00	$2,316.12	$2,718.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,168.18 / $1,794.90 / $2,511.59	Facility		$1,168.18	$1,794.90	$2,511.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,576.61 / $2,245.46 / $3,134.11	Professional		$1,576.61	$2,245.46	$3,134.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,271.59 / $1,653.08 / $1,822.40	Facility		$1,271.59	$1,653.08	$1,822.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,518.04 / $2,050.28 / $3,129.15	Facility		$1,518.04	$2,050.28	$3,129.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.29 / $2,013.54 / $2,661.79	Professional		$1,434.29	$2,013.54	$2,661.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $394.57 / $1,385.68 / $2,004.78	Facility		$394.57	$1,385.68	$2,004.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,633.91 / $2,195.42 / $2,586.67	Professional		$1,633.91	$2,195.42	$2,586.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,612.88 / $1,612.88 / $1,992.82	Facility		$1,612.88	$1,612.88	$1,992.82
United Facility/Professional Professional Modifier Low / Median / High Price $894.03 / $1,086.50 / $2,828.28	Professional		$894.03	$1,086.50	$2,828.28