Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.92 / $1,953.92 / $1,953.92	Facility		$1,953.92	$1,953.92	$1,953.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,707.11 / $1,707.11 / $1,707.11	Professional		$1,707.11	$1,707.11	$1,707.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,496.50 / $3,496.50 / $3,496.50	Facility		$3,496.50	$3,496.50	$3,496.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $1,748.25 / $1,748.25	Professional		$1,748.25	$1,748.25	$1,748.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,281.16 / $3,784.67 / $4,083.46	Professional		$3,281.16	$3,784.67	$4,083.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $2,262.44 / $3,670.29	Facility		$1,707.11	$2,262.44	$3,670.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,043.04 / $1,043.04 / $2,005.85	Professional		$1,043.04	$1,043.04	$2,005.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,953.92 / $1,953.92 / $3,214.66	Facility		$1,953.92	$1,953.92	$3,214.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,707.11 / $2,441.17 / $3,670.29	Facility		$1,707.11	$2,441.17	$3,670.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,748.25 / $2,261.48 / $3,291.43	Professional		$1,748.25	$2,261.48	$3,291.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,953.92 / $1,953.92 / $1,953.92	Professional		$1,953.92	$1,953.92	$1,953.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,971.07	Professional		$1,713.97	$1,713.97	$1,971.07