Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,709.64 / $8,709.64	Facility		$1,905.46	$8,709.64	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,479.11 / $2,344.23	Professional		$354.81	$1,479.11	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,623.41	Facility		$3,162.28	$3,162.28	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,168.69 / $5,128.61	Professional		$1,949.84	$4,168.69	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,754.23	Professional		$1,659.59	$2,137.96	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,388.44	Facility		$1,737.80	$2,137.96	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,691.53 / $5,128.61	Facility		$1,479.11	$2,691.53	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $2,754.23	Professional		$79.43	$2,137.96	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $8,128.31	Facility		$2,951.21	$5,495.41	$8,128.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $2,344.23	Professional		$1,548.82	$1,659.59	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,090.30	Facility		$2,344.23	$2,344.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $2,344.23	Professional		$812.83	$812.83	$2,344.23