Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.60 / $1,894.60 / $3,306.00	Facility		$1,894.60	$1,894.60	$3,306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.20 / $646.00 / $737.20	Professional		$547.20	$646.00	$737.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,901.90 / $2,208.17	Facility		$1,235.00	$1,901.90	$2,208.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.60 / $444.60 / $444.60	Professional		$444.60	$444.60	$444.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,669.01 / $2,000.03	Professional		$760.00	$1,669.01	$2,000.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $798.00 / $1,672.00	Facility		$570.00	$798.00	$1,672.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,064.00	Professional		$760.00	$836.00	$1,064.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $851.20 / $1,330.00	Facility		$760.00	$851.20	$1,330.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,007.00 / $2,000.70	Facility		$912.00	$1,007.00	$2,000.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $836.00 / $1,064.00	Professional		$836.00	$836.00	$1,064.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $2,312.67 / $2,983.68	Facility		$1,482.00	$2,312.67	$2,983.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,214.58 / $1,494.38 / $2,390.59	Professional		$1,214.58	$1,494.38	$2,390.59
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $798.00	Professional		$319.20	$319.20	$798.00