Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,541.84 / $2,541.84 / $2,541.84	Facility		$2,541.84	$2,541.84	$2,541.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.89 / $960.90 / $4,881.45	Professional		$960.89	$960.90	$4,881.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,162.20	Facility		$1,162.20	$1,162.20	$1,162.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $1,162.20	Professional		$848.41	$848.41	$1,162.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.60 / $3,389.14 / $4,420.29	Professional		$1,223.60	$3,389.14	$4,420.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.57 / $1,436.54 / $1,748.01	Facility		$1,048.57	$1,436.54	$1,748.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.71 / $1,643.13 / $1,835.41	Professional		$1,299.71	$1,643.13	$1,835.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,387.53 / $1,748.01 / $1,922.81	Facility		$1,387.53	$1,748.01	$1,922.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,573.21 / $1,748.01 / $1,922.81	Professional		$1,573.21	$1,748.01	$1,922.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,048.57 / $1,499.46 / $1,835.41	Facility		$1,048.57	$1,499.46	$1,835.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,530.62 / $1,922.81	Professional		$848.41	$1,530.62	$1,922.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,456.35 / $2,906.88 / $6,132.58	Facility		$1,456.35	$2,906.88	$6,132.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,503.29 / $1,922.81 / $1,922.81	Professional		$1,503.29	$1,922.81	$1,922.81
United Facility/Professional Professional Modifier Low / Median / High Price $751.31 / $798.17 / $1,522.80	Professional		$751.31	$798.17	$1,522.80