Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $5,182.68	Facility		$2,202.64	$2,202.64	$5,182.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,150.81 / $2,150.81 / $2,202.64	Professional		$2,150.81	$2,150.81	$2,202.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,405.28 / $4,405.28 / $4,405.28	Facility		$4,405.28	$4,405.28	$4,405.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.27 / $1,236.49 / $1,481.73	Professional		$555.27	$1,236.49	$1,481.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.21 / $2,850.47 / $4,624.24	Facility		$1,226.21	$2,850.47	$4,624.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.63 / $2,864.08 / $5,507.85	Professional		$1,222.63	$2,864.08	$5,507.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $957.55 / $1,150.14 / $1,166.47	Facility		$957.55	$1,150.14	$1,166.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,150.81 / $3,075.66 / $6,116.72	Facility		$2,150.81	$3,075.66	$6,116.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $938.75 / $2,202.64 / $2,699.31	Professional		$938.75	$2,202.64	$2,699.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,504.96 / $3,366.46 / $6,646.13	Facility		$1,504.96	$3,366.46	$6,646.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $636.82 / $636.82 / $636.82	Professional		$636.82	$636.82	$636.82
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Professional		$2,159.44	$2,159.44	$2,159.44