Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.74 / $1,957.78 / $3,780.53	Facility		$1,687.74	$1,957.78	$3,780.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $1,309.68 / $2,632.87	Professional		$728.00	$1,309.68	$2,632.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,194.05 / $2,194.05 / $3,922.96	Facility		$2,194.05	$2,194.05	$3,922.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.86 / $1,489.21 / $2,422.09	Professional		$789.86	$1,489.21	$2,422.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $3,292.45 / $3,552.39	Professional		$1,350.19	$3,292.45	$3,552.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,350.19 / $2,815.81	Facility		$810.11	$1,350.19	$2,815.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $1,822.76	Professional		$1,350.19	$1,350.19	$1,822.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,350.19 / $1,417.70 / $2,980.54	Facility		$1,350.19	$1,417.70	$2,980.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,620.23 / $2,848.90	Facility		$810.11	$1,620.23	$2,848.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,485.21 / $1,944.27	Professional		$1,350.19	$1,485.21	$1,944.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,632.87 / $4,108.63 / $5,300.71	Facility		$2,632.87	$4,108.63	$5,300.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,228.67 / $2,509.92 / $3,774.84	Professional		$1,228.67	$2,509.92	$3,774.84
United Facility/Professional Professional Modifier Low / Median / High Price $567.08 / $567.08 / $1,417.70	Professional		$567.08	$567.08	$1,417.70