Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.79 / $1,769.05 / $2,646.70	Facility		$1,376.79	$1,769.05	$2,646.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,376.79 / $2,368.11	Professional		$1,323.35	$1,376.79	$2,368.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,248.44 / $2,364.66 / $2,889.10	Facility		$1,248.44	$2,364.66	$2,889.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,560.55	Professional		$1,323.35	$1,323.35	$1,560.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,182.13 / $3,051.33 / $3,663.89	Professional		$2,182.13	$3,051.33	$3,663.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.52 / $1,376.79 / $2,845.20	Facility		$977.52	$1,376.79	$2,845.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,455.68 / $1,720.36	Professional		$1,323.35	$1,455.68	$1,720.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,323.35 / $1,558.62 / $3,970.05	Facility		$1,323.35	$1,558.62	$3,970.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.60 / $1,392.52 / $2,845.20	Facility		$997.60	$1,392.52	$2,845.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,783.31 / $1,872.66	Professional		$1,323.35	$1,783.31	$1,872.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,437.85 / $2,247.76 / $5,083.27	Facility		$1,437.85	$2,247.76	$5,083.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,588.01	Professional		$1,323.35	$1,323.35	$1,588.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.35 / $1,323.35 / $1,521.85	Professional		$1,323.35	$1,323.35	$1,521.85