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 / $737.20 / $737.20	Professional		$547.20	$737.20	$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 $608.00 / $759.77 / $1,091.86	Professional		$608.00	$759.77	$1,091.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,853.68 / $2,000.03	Professional		$760.00	$1,853.68	$2,000.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $760.00 / $1,584.98	Facility		$380.00	$760.00	$1,584.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $1,033.59	Professional		$760.00	$760.00	$1,033.59
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 $499.70 / $874.00 / $1,656.80	Facility		$499.70	$874.00	$1,656.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $836.00 / $1,064.00	Professional		$722.00	$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 $680.71 / $907.61 / $1,873.20	Professional		$680.71	$907.61	$1,873.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,140.00 / $1,140.00 / $1,216.00	Facility		$1,140.00	$1,140.00	$1,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $912.00	Professional		$319.20	$319.20	$912.00