Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.01 / $2,052.01 / $2,243.82	Facility		$2,052.01	$2,052.01	$2,243.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.58 / $1,019.65 / $1,731.31	Professional		$750.58	$1,019.65	$1,731.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.53 / $999.53 / $999.53	Facility		$999.53	$999.53	$999.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.72 / $1,896.29 / $2,663.81	Professional		$1,091.72	$1,896.29	$2,663.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,687.42 / $2,011.54 / $2,344.42	Professional		$1,687.42	$2,011.54	$2,344.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $838.53 / $1,227.50 / $2,501.55	Facility		$838.53	$1,227.50	$2,501.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.11 / $1,800.96 / $2,709.71	Professional		$1,363.11	$1,800.96	$2,709.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.67 / $1,687.42 / $1,796.27	Facility		$1,123.67	$1,687.42	$1,796.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.17 / $1,399.65 / $2,501.55	Facility		$858.17	$1,399.65	$2,501.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,578.41 / $2,066.90 / $2,681.28	Professional		$1,578.41	$2,066.90	$2,681.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,266.98 / $2,975.12 / $3,619.70	Facility		$2,266.98	$2,975.12	$3,619.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,359.24 / $2,081.80 / $2,592.36	Professional		$1,359.24	$2,081.80	$2,592.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.40 / $1,909.45 / $2,875.40	Professional		$1,013.40	$1,909.45	$2,875.40