Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,060.70 / $3,550.41 / $6,855.97	Facility		$3,060.70	$3,550.41	$6,855.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.21 / $1,762.96 / $2,375.10	Professional		$508.21	$1,762.96	$2,375.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,978.90 / $3,978.90 / $7,114.27	Facility		$3,978.90	$3,978.90	$7,114.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $939.41 / $2,700.84 / $4,393.01	Professional		$939.41	$2,700.84	$4,393.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $5,971.22 / $6,442.64	Professional		$2,448.56	$5,971.22	$6,442.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,464.95 / $2,396.75 / $5,106.47	Facility		$1,464.95	$2,396.75	$5,106.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $3,305.56	Professional		$2,448.56	$2,448.56	$3,305.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,570.98 / $5,405.20	Facility		$2,448.56	$2,570.98	$5,405.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,375.10 / $2,938.27 / $5,106.47	Facility		$2,375.10	$2,938.27	$5,106.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $2,693.42 / $3,525.93	Professional		$722.52	$2,693.42	$3,525.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,774.68 / $7,450.97 / $9,612.79	Facility		$4,774.68	$7,450.97	$9,612.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,676.72 / $4,552.38 / $6,846.64	Professional		$1,676.72	$4,552.38	$6,846.64
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $1,028.40 / $2,570.98	Professional		$252.88	$1,028.40	$2,570.98