Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.25 / $1,430.25 / $1,430.25	Facility		$1,430.25	$1,430.25	$1,430.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.71 / $944.16 / $2,913.74	Professional		$655.71	$944.16	$2,913.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.31 / $1,533.55 / $2,164.13	Professional		$848.31	$1,533.55	$2,164.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.41 / $1,614.60 / $1,955.63	Professional		$1,372.41	$1,614.60	$1,955.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $753.25 / $1,368.24 / $2,029.94	Facility		$753.25	$1,368.24	$2,029.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.48 / $1,415.46 / $1,993.87	Professional		$1,218.48	$1,415.46	$1,993.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,184.11 / $1,497.91 / $1,611.30	Facility		$1,184.11	$1,497.91	$1,611.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.82 / $1,500.61 / $2,029.94	Facility		$760.82	$1,500.61	$2,029.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,346.58 / $1,665.74 / $2,106.58	Professional		$1,346.58	$1,665.74	$2,106.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,269.89 / $1,767.30 / $2,165.04	Professional		$1,269.89	$1,767.30	$2,165.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,124.51 / $1,574.31 / $2,305.23	Professional		$1,124.51	$1,574.31	$2,305.23