Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.32 / $3,108.22 / $6,002.08	Facility		$2,572.32	$3,108.22	$6,002.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.89 / $1,822.06 / $3,108.22	Professional		$517.89	$1,822.06	$3,108.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,483.35 / $3,483.35 / $6,228.23	Facility		$3,483.35	$3,483.35	$6,228.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.01 / $2,364.39 / $3,846.09	Professional		$1,254.01	$2,364.39	$3,846.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $5,227.37 / $5,640.06	Professional		$2,143.60	$5,227.37	$5,640.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,079.29 / $4,470.47	Facility		$1,286.16	$2,079.29	$4,470.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,143.60 / $2,143.60 / $2,893.86	Professional		$2,143.60	$2,143.60	$2,893.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,143.60 / $2,357.96 / $4,732.00	Facility		$2,143.60	$2,357.96	$4,732.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.16 / $2,572.32 / $4,470.47	Facility		$1,286.16	$2,572.32	$4,470.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $2,357.96 / $3,086.78	Professional		$722.52	$2,357.96	$3,086.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,180.02 / $6,522.97 / $8,415.56	Facility		$4,180.02	$6,522.97	$8,415.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,467.85 / $3,985.38 / $5,993.89	Professional		$1,467.85	$3,985.38	$5,993.89
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $900.31 / $2,572.32	Professional		$252.88	$900.31	$2,572.32