Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,715.35 / $3,801.89	Facility		$812.83	$3,715.35	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,000.00	Professional		$549.54	$630.96	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,454.71	Facility		$1,380.38	$1,380.38	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,202.26	Professional		$831.76	$954.99	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,137.96	Professional		$831.76	$1,819.70	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,148.15	Professional		$831.76	$933.25	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $1,318.26	Facility		$758.58	$933.25	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,454.71	Facility		$812.83	$1,174.90	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,148.15	Professional		$79.43	$891.25	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,311.31	Facility		$1,258.93	$2,454.71	$3,311.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,000.00	Professional		$630.96	$758.58	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,348.96	Facility		$1,000.00	$1,000.00	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,000.00	Professional		$354.81	$354.81	$1,000.00