Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $2,574.81 / $3,657.44	Facility		$1,861.13	$2,574.81	$3,657.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,861.13 / $7,974.62	Professional		$1,828.72	$1,861.13	$7,974.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.20 / $2,518.37 / $3,511.62	Facility		$1,725.20	$2,518.37	$3,511.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,983.98	Professional		$1,828.71	$1,828.71	$1,983.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $4,086.58 / $4,733.92	Professional		$1,828.72	$4,086.58	$4,733.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $2,615.07 / $4,221.35	Facility		$1,828.72	$2,615.07	$4,221.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,938.44 / $2,377.34	Professional		$1,828.72	$1,938.44	$2,377.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,828.71 / $2,106.94 / $4,362.32	Facility		$1,828.71	$2,106.94	$4,362.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $2,615.07 / $4,221.35	Facility		$1,828.72	$2,615.07	$4,221.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.75 / $2,224.55 / $2,822.40	Professional		$1,930.75	$2,224.55	$2,822.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,605.39 / $3,952.63 / $8,047.53	Facility		$2,605.39	$3,952.63	$8,047.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $1,828.72	Professional		$1,828.72	$1,828.72	$1,828.72