Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.84 / $2,156.69 / $4,164.64	Facility		$1,784.84	$2,156.69	$4,164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $1,442.75 / $5,527.07	Professional		$58.00	$1,442.75	$5,527.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.98 / $3,722.14 / $4,321.55	Facility		$2,416.98	$3,722.14	$4,321.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.11 / $1,708.99 / $2,668.23	Professional		$870.11	$1,708.99	$2,668.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $3,626.90 / $3,913.23	Professional		$1,487.37	$3,626.90	$3,913.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $1,487.37 / $3,101.91	Facility		$743.69	$1,487.37	$3,101.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $1,487.37 / $2,022.82	Professional		$1,487.37	$1,487.37	$2,022.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $1,636.11 / $3,283.37	Facility		$1,487.37	$1,636.11	$3,283.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $1,784.84 / $3,722.14	Facility		$743.69	$1,784.84	$3,722.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,413.00 / $1,636.11 / $2,126.94	Professional		$1,413.00	$1,636.11	$2,126.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,900.37 / $4,526.07 / $5,839.27	Facility		$2,900.37	$4,526.07	$5,839.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,331.87 / $1,933.58 / $3,665.99	Professional		$1,331.87	$1,933.58	$3,665.99
United Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $624.70 / $1,784.84	Professional		$624.70	$624.70	$1,784.84