Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,378.19 / $2,378.19 / $2,616.01	Professional		$2,378.19	$2,378.19	$2,616.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,621.52 / $3,621.52 / $3,621.52	Facility		$3,621.52	$3,621.52	$3,621.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,233.40 / $2,553.25 / $2,997.46	Professional		$2,233.40	$2,553.25	$2,997.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,354.57 / $1,978.42 / $2,537.25	Facility		$1,354.57	$1,978.42	$2,537.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.16 / $1,297.16 / $1,297.16	Professional		$1,297.16	$1,297.16	$1,297.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.18 / $985.55 / $1,037.42	Facility		$817.18	$985.55	$1,037.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,354.57 / $1,937.04 / $2,912.33	Facility		$1,354.57	$1,937.04	$2,912.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,308.10 / $2,227.44 / $2,752.42	Professional		$1,308.10	$2,227.44	$2,752.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,423.94 / $4,284.59 / $5,323.32	Facility		$3,423.94	$4,284.59	$5,323.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,924.02 / $2,512.75 / $2,893.67	Professional		$1,924.02	$2,512.75	$2,893.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,877.21 / $3,877.21 / $4,790.54	Facility		$3,877.21	$3,877.21	$4,790.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.33 / $1,291.81 / $3,368.84	Professional		$1,239.33	$1,291.81	$3,368.84