Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,372.34 / $3,783.00 / $5,109.66	Facility		$2,372.34	$3,783.00	$5,109.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,770.13 / $2,737.32	Professional		$1,075.00	$1,770.13	$2,737.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,965.43 / $4,566.75 / $6,514.17	Facility		$2,965.43	$4,566.75	$6,514.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,155.94 / $2,374.51 / $3,580.37	Professional		$1,155.94	$2,374.51	$3,580.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $4,007.04 / $4,801.76	Professional		$1,824.88	$4,007.04	$4,801.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,368.66 / $1,916.12 / $4,014.74	Facility		$1,368.66	$1,916.12	$4,014.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $2,007.37 / $2,485.86	Professional		$1,824.88	$2,007.37	$2,485.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,916.12 / $4,028.42	Facility		$1,824.88	$1,916.12	$4,028.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,916.12 / $2,308.46 / $5,292.15	Facility		$1,916.12	$2,308.46	$5,292.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,007.37 / $2,208.10 / $2,919.80	Professional		$2,007.37	$2,208.10	$2,919.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,558.52 / $5,632.33 / $7,539.31	Facility		$3,558.52	$5,632.33	$7,539.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,222.92 / $3,588.28 / $5,739.33	Professional		$3,222.92	$3,588.28	$5,739.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Facility		$1,824.88	$1,824.88	$1,824.88
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,044.06 / $1,916.12	Professional		$766.45	$1,044.06	$1,916.12