Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.41 / $1,600.41 / $1,600.41	Facility		$1,600.41	$1,600.41	$1,600.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.42 / $965.42 / $5,557.27	Professional		$965.42	$965.42	$5,557.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,217.05	Facility		$1,217.05	$1,217.05	$1,217.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,217.05 / $1,455.57	Professional		$1,034.49	$1,217.05	$1,455.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.83 / $1,590.21 / $5,130.93	Professional		$1,236.83	$1,590.21	$5,130.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.69 / $1,558.74 / $2,084.21	Facility		$1,013.69	$1,558.74	$2,084.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $1,678.56 / $1,929.55	Professional		$176.69	$1,678.56	$1,929.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,766.90 / $1,853.27 / $2,296.96	Facility		$1,766.90	$1,853.27	$2,296.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,766.90 / $1,853.27 / $2,306.75	Professional		$1,766.90	$1,853.27	$2,306.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $965.42 / $1,558.74 / $2,508.42	Facility		$965.42	$1,558.74	$2,508.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,217.05 / $1,694.36 / $2,143.27	Professional		$1,217.05	$1,694.36	$2,143.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,723.06 / $2,723.06 / $3,203.04	Facility		$2,723.06	$2,723.06	$3,203.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,846.35 / $1,846.35 / $1,846.35	Professional		$1,846.35	$1,846.35	$1,846.35
United Facility/Professional Professional Modifier Low / Median / High Price $960.91 / $984.07 / $1,846.35	Professional		$960.91	$984.07	$1,846.35