Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $2,344.23	Facility		$467.74	$467.74	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $275.42	Professional		$107.15	$257.04	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $5,888.44	Facility		$3,019.95	$4,677.35	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $2,344.23 / $4,677.35	Professional		$144.54	$2,344.23	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $204.17 / $204.17	Facility		$169.82	$204.17	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $6,760.83	Facility		$2,344.23	$3,019.95	$6,760.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $2,691.53	Professional		$79.43	$147.91	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $6,606.93	Facility		$2,089.30	$3,630.78	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,623.41	Facility		$2,344.23	$2,344.23	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,019.95	Professional		$2,630.27	$2,818.38	$3,019.95