Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.03 / $1,652.03 / $1,652.03	Facility		$1,652.03	$1,652.03	$1,652.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.24 / $994.67 / $2,734.53	Professional		$758.24	$994.67	$2,734.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.19 / $1,771.63 / $2,499.60	Professional		$951.19	$1,771.63	$2,499.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,585.46 / $1,865.24 / $2,259.21	Professional		$1,585.46	$1,865.24	$2,259.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.18 / $1,559.73 / $2,339.77	Facility		$870.18	$1,559.73	$2,339.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,400.46 / $1,620.66 / $2,303.05	Professional		$1,400.46	$1,620.66	$2,303.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,305.50 / $1,730.41 / $1,802.00	Facility		$1,305.50	$1,730.41	$1,802.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.65 / $1,727.00 / $2,272.05	Facility		$878.65	$1,727.00	$2,272.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,561.37 / $1,908.00 / $2,431.66	Professional		$1,561.37	$1,908.00	$2,431.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,467.74 / $2,040.02 / $2,502.35	Professional		$1,467.74	$2,040.02	$2,502.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,740.66 / $2,683.04	Professional		$1,195.08	$1,740.66	$2,683.04