Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.66 / $1,928.66 / $2,599.39	Facility		$1,928.66	$1,928.66	$2,599.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.37 / $1,254.38 / $2,841.33	Professional		$937.37	$1,254.38	$2,841.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,161.33 / $1,161.33 / $1,161.33	Facility		$1,161.33	$1,161.33	$1,161.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.48 / $2,149.75 / $2,899.98	Professional		$1,370.48	$2,149.75	$2,899.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.48 / $2,428.41 / $2,827.04	Professional		$1,862.48	$2,428.41	$2,827.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $993.40 / $1,445.91 / $2,845.24	Facility		$993.40	$1,445.91	$2,845.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.60 / $1,915.18 / $3,059.94	Professional		$1,638.60	$1,915.18	$3,059.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,491.56 / $1,956.36 / $2,196.92	Facility		$1,491.56	$1,956.36	$2,196.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.60 / $1,687.78 / $2,845.24	Facility		$996.60	$1,687.78	$2,845.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,355.98 / $2,190.55 / $2,768.28	Professional		$1,355.98	$2,190.55	$2,768.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,548.90 / $3,192.87 / $4,140.82	Facility		$2,548.90	$3,192.87	$4,140.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,624.86 / $2,005.50 / $2,851.03	Professional		$1,624.86	$2,005.50	$2,851.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,463.41 / $2,226.27 / $3,088.81	Professional		$1,463.41	$2,226.27	$3,088.81