Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $2,398.83	Facility		$2,089.30	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,187.76	Professional		$2,041.74	$2,089.30	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $776.25	Professional		$630.96	$724.44	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $2,754.23	Facility		$1,071.52	$2,089.30	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $2,137.96	Professional		$1,071.52	$2,041.74	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $1,380.38	Facility		$812.83	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,511.89 / $4,786.30	Facility		$630.96	$2,511.89	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $3,019.95	Professional		$79.43	$2,137.96	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,995.26	Facility		$831.76	$831.76	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,511.89	Professional		$2,089.30	$2,089.30	$2,511.89