Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.69 / $2,980.60 / $4,859.78	Facility		$2,440.69	$2,980.60	$4,859.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,454.19 / $4,198.08	Professional		$2,429.89	$2,454.19	$4,198.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $3,415.13 / $4,882.97	Facility		$2,292.35	$3,415.13	$4,882.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,750.82	Professional		$2,429.89	$2,429.89	$2,750.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,868.48 / $5,356.36 / $6,389.68	Professional		$3,868.48	$5,356.36	$6,389.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,551.38 / $5,224.26	Facility		$2,429.89	$2,551.38	$5,224.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $3,158.86	Professional		$2,429.89	$2,575.67	$3,158.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $3,037.36 / $5,076.66	Facility		$2,429.89	$3,037.36	$5,076.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,865.96 / $5,005.57	Facility		$2,429.89	$2,865.96	$5,005.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,865.96 / $3,094.67	Professional		$2,429.89	$2,865.96	$3,094.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,194.48 / $3,291.74 / $8,340.87	Facility		$2,194.48	$3,291.74	$8,340.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,915.87	Professional		$2,429.89	$2,429.89	$2,915.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,794.37	Professional		$2,429.89	$2,429.89	$2,794.37