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 / $727.50 / $727.50	Professional		$540.00	$727.50	$727.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,218.75 / $1,876.88 / $2,179.13	Facility		$1,218.75	$1,876.88	$2,179.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.78 / $861.93 / $1,077.41	Professional		$749.78	$861.93	$1,077.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $1,829.22 / $1,973.65	Professional		$750.00	$1,829.22	$1,973.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $750.00 / $1,564.13	Facility		$450.00	$750.00	$1,564.13
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 / $787.50 / $1,050.00	Facility		$750.00	$787.50	$1,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $800.25 / $1,876.88	Facility		$450.00	$800.25	$1,876.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $825.00 / $1,050.00	Professional		$712.50	$825.00	$1,050.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,428.50 / $2,944.28	Facility		$1,500.00	$2,428.50	$2,944.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $671.73 / $895.64 / $1,848.59	Professional		$671.73	$895.64	$1,848.59
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $900.00	Professional		$315.00	$315.00	$900.00