Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,235.00	Facility		$1,235.00	$1,235.00	$1,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,079.00 / $1,079.00	Professional		$1,079.00	$1,079.00	$1,079.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,976.52 / $1,976.52 / $1,976.52	Facility		$1,976.52	$1,976.52	$1,976.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,653.37 / $3,060.54 / $3,302.16	Professional		$2,653.37	$3,060.54	$3,302.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $1,235.00 / $2,319.85	Facility		$1,079.00	$1,235.00	$2,319.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.35 / $1,052.35 / $2,023.78	Professional		$1,052.35	$1,052.35	$2,023.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,444.79 / $2,407.98	Facility		$1,235.00	$1,444.79	$2,407.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $1,543.75 / $2,470.00	Facility		$1,079.00	$1,543.75	$2,470.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,543.75 / $2,161.25	Professional		$1,066.90	$1,543.75	$2,161.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,235.00	Professional		$1,235.00	$1,235.00	$1,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,420.25	Professional		$1,235.00	$1,235.00	$1,420.25