Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.24 / $835.24 / $835.24	Facility		$835.24	$835.24	$835.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,378.42 / $4,378.42 / $4,378.42	Professional		$4,378.42	$4,378.42	$4,378.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,967.86 / $8,967.86 / $8,967.86	Facility		$8,967.86	$8,967.86	$8,967.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $4,483.93 / $4,483.93	Professional		$4,483.93	$4,483.93	$4,483.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,777.15 / $3,203.31 / $3,456.21	Professional		$2,777.15	$3,203.31	$3,456.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,777.16 / $4,597.34 / $9,413.60	Facility		$2,777.16	$4,597.34	$9,413.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $835.24 / $1,414.24 / $2,357.06	Facility		$835.24	$1,414.24	$2,357.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.05 / $4,378.42 / $8,967.86	Facility		$1,044.05	$4,378.42	$8,967.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $995.61 / $1,044.05 / $4,483.93	Professional		$995.61	$1,044.05	$4,483.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $835.24 / $835.24 / $835.24	Professional		$835.24	$835.24	$835.24
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $6,066.49	Professional		$5,275.21	$5,275.21	$6,066.49