Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.67 / $1,869.67 / $3,262.50	Facility		$1,869.67	$1,869.67	$3,262.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $637.50 / $727.50	Professional		$540.00	$637.50	$727.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,218.75 / $1,218.75 / $2,179.13	Facility		$1,218.75	$1,218.75	$2,179.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,646.98 / $1,973.65	Professional		$750.00	$1,646.98	$1,973.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $727.50 / $1,650.00	Facility		$562.50	$727.50	$1,650.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $1,012.50	Professional		$750.00	$750.00	$1,012.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $840.00 / $1,312.50	Facility		$750.00	$840.00	$1,312.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.50 / $993.75 / $1,895.72	Facility		$727.50	$993.75	$1,895.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $1,050.00	Professional		$825.00	$825.00	$1,050.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $2,282.25 / $2,944.28	Facility		$1,462.50	$2,282.25	$2,944.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,198.33 / $1,412.11 / $2,358.62	Professional		$1,198.33	$1,412.11	$2,358.62
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $787.50	Professional		$315.00	$315.00	$787.50