Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Facility		$2,399.67	$2,399.67	$2,399.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.56 / $2,096.56 / $2,399.67	Professional		$2,096.56	$2,096.56	$2,399.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Facility		$4,294.16	$4,294.16	$4,294.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Professional		$2,147.08	$2,147.08	$2,147.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $625.04 / $720.97 / $777.89	Professional		$625.04	$720.97	$777.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.97 / $2,201.39 / $4,507.60	Facility		$643.97	$2,201.39	$4,507.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $641.87 / $1,004.43 / $1,931.60	Professional		$641.87	$1,004.43	$1,931.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,096.56 / $2,778.58 / $4,507.60	Facility		$2,096.56	$2,778.58	$4,507.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.44 / $2,548.08 / $2,999.60	Professional		$894.44	$2,548.08	$2,999.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,399.67 / $2,399.67 / $2,399.67	Professional		$2,399.67	$2,399.67	$2,399.67
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,420.73	Professional		$2,104.98	$2,104.98	$2,420.73