Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.44 / $2,167.87 / $3,617.30	Facility		$1,809.44	$2,167.87	$3,617.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,826.73 / $3,922.01	Professional		$1,808.65	$1,826.73	$3,922.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.27 / $2,567.13 / $3,624.02	Facility		$1,706.27	$2,567.13	$3,624.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,962.21	Professional		$1,808.65	$1,808.65	$1,962.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,784.13 / $3,972.95 / $4,772.82	Professional		$1,784.13	$3,972.95	$4,772.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,676.16 / $2,319.04 / $3,888.60	Facility		$1,676.16	$2,319.04	$3,888.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,917.16 / $2,351.25	Professional		$1,808.65	$1,917.16	$2,351.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,260.81 / $3,763.64	Facility		$1,808.65	$2,260.81	$3,763.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,706.27 / $2,567.13 / $3,888.60	Facility		$1,706.27	$2,567.13	$3,888.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,147.78 / $1,962.21 / $2,268.67	Professional		$1,147.78	$1,962.21	$2,268.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,654.66 / $2,811.51 / $5,874.38	Facility		$1,654.66	$2,811.51	$5,874.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,808.65 / $1,808.65 / $1,808.65	Professional		$1,808.65	$1,808.65	$1,808.65