Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $5,370.32	Facility		$1,513.56	$1,862.09	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,089.30	Professional		$758.58	$977.24	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,467.37	Facility		$1,949.84	$1,949.84	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,819.70	Professional		$1,122.02	$1,122.02	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $3,162.28	Professional		$1,202.26	$2,570.40	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,621.81	Facility		$1,202.26	$1,202.26	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $1,621.81	Professional		$977.24	$1,445.44	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,778.28	Facility		$1,202.26	$1,258.93	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,621.81 / $3,388.44	Facility		$851.14	$1,621.81	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,659.59	Professional		$1,122.02	$1,318.26	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $4,677.35	Facility		$1,778.28	$3,467.37	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,445.44	Professional		$933.25	$1,023.29	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,905.46	Facility		$1,445.44	$1,445.44	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,380.38	Professional		$489.78	$489.78	$1,380.38