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 $3,886.37 / $4,482.76 / $4,836.64	Professional		$3,886.37	$4,482.76	$4,836.64
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 $1,352.42 / $1,352.42 / $2,600.80	Professional		$1,352.42	$1,352.42	$2,600.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,953.92 / $2,157.13 / $3,595.22	Facility		$1,953.92	$2,157.13	$3,595.22
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 / $3,419.36	Professional		$1,748.25	$2,261.48	$3,419.36
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