Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,497.42 / $1,737.01 / $3,354.23	Facility		$1,497.42	$1,737.01	$3,354.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.20 / $986.00 / $1,737.01	Professional		$835.20	$986.00	$1,737.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,946.65 / $1,946.65 / $3,480.61	Facility		$1,946.65	$1,946.65	$3,480.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.24 / $1,732.21 / $2,276.19	Professional		$1,256.24	$1,732.21	$2,276.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $2,629.92 / $3,151.52	Professional		$1,197.94	$2,629.92	$3,151.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.40 / $1,257.83 / $2,635.47	Facility		$858.40	$1,257.83	$2,635.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,392.00 / $1,617.22	Professional		$1,197.94	$1,392.00	$1,617.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,197.94 / $1,317.73 / $1,796.91	Facility		$1,197.94	$1,317.73	$1,796.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.83 / $1,467.40 / $3,076.81	Facility		$1,257.83	$1,467.40	$3,076.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,392.00 / $1,821.19	Professional		$1,276.00	$1,392.00	$1,821.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,124.92 / $3,756.08 / $4,702.75	Facility		$3,124.92	$3,756.08	$4,702.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,809.02 / $3,648.23	Professional		$2,048.67	$2,809.02	$3,648.23
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $487.20 / $1,218.00	Professional		$487.20	$487.20	$1,218.00