Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,368.25 / $2,368.25 / $4,132.50	Facility		$2,368.25	$2,368.25	$4,132.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $921.50 / $921.50	Professional		$684.00	$921.50	$921.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,543.75 / $2,377.38 / $2,760.23	Facility		$1,543.75	$2,377.38	$2,760.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $949.72 / $1,364.45	Professional		$760.00	$949.72	$1,364.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $2,316.71 / $2,499.61	Professional		$950.00	$2,316.71	$2,499.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $503.50 / $950.00 / $1,981.23	Facility		$503.50	$950.00	$1,981.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $1,292.00	Professional		$950.00	$950.00	$1,292.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $1,073.50 / $1,662.50	Facility		$855.00	$1,073.50	$1,662.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.63 / $1,092.50 / $2,071.00	Facility		$624.63	$1,092.50	$2,071.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $902.50 / $1,045.00 / $1,330.00	Professional		$902.50	$1,045.00	$1,330.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,852.50 / $2,890.85 / $3,729.61	Facility		$1,852.50	$2,890.85	$3,729.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $850.74 / $1,134.32 / $2,341.71	Professional		$850.74	$1,134.32	$2,341.71
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $1,140.00	Professional		$399.00	$399.00	$1,140.00