Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $1,949.84	Facility		$1,698.24	$1,949.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,778.28	Professional		$1,659.59	$1,698.24	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $4,073.80	Professional		$3,311.31	$3,801.89	$4,073.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,691.53	Facility		$1,202.26	$1,778.28	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $1,737.80	Professional		$1,202.26	$1,698.24	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,235.94	Facility		$1,949.84	$1,949.84	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,754.40	Facility		$1,698.24	$2,454.71	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $3,311.31	Professional		$79.43	$1,737.80	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $2,238.72	Facility		$933.25	$933.25	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Professional		$1,698.24	$1,698.24	$2,041.74