Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.40 / $1,866.15 / $3,603.60	Facility		$1,544.40	$1,866.15	$3,603.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.64 / $1,248.39 / $2,509.65	Professional		$926.64	$1,248.39	$2,509.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.38 / $2,091.38 / $3,739.38	Facility		$2,091.38	$2,091.38	$3,739.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.90 / $1,419.64 / $2,308.71	Professional		$752.90	$1,419.64	$2,308.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $3,138.64 / $3,386.44	Professional		$1,287.00	$3,138.64	$3,386.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $1,287.00 / $2,684.04	Facility		$772.20	$1,287.00	$2,684.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,287.00 / $1,737.45	Professional		$1,287.00	$1,287.00	$1,737.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $1,415.70 / $2,841.05	Facility		$1,287.00	$1,415.70	$2,841.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $1,580.00 / $2,715.57	Facility		$772.20	$1,580.00	$2,715.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,415.70 / $1,853.28	Professional		$1,287.00	$1,415.70	$1,853.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,509.65 / $3,916.34 / $5,052.63	Facility		$2,509.65	$3,916.34	$5,052.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,171.17 / $2,392.73 / $3,598.60	Professional		$1,171.17	$2,392.73	$3,598.60
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $540.54 / $1,351.35	Professional		$540.54	$540.54	$1,351.35