Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $4,677.35	Facility		$1,318.26	$1,621.81	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,905.46	Professional		$691.83	$891.25	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $3,019.95	Facility		$1,698.24	$2,691.53	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,905.46	Professional		$831.76	$1,202.26	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $2,754.23	Professional		$1,047.13	$2,238.72	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,230.27	Facility		$1,047.13	$1,047.13	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,479.11	Professional		$1,047.13	$1,202.26	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,995.26	Facility		$1,047.13	$1,047.13	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,445.44 / $2,754.23	Facility		$776.25	$1,445.44	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,584.89	Professional		$1,000.00	$1,174.90	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $4,168.69	Facility		$1,584.89	$3,090.30	$4,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,258.93	Professional		$794.33	$954.99	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Facility		$1,258.93	$1,258.93	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,258.93	Professional		$436.52	$436.52	$1,258.93