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 / $646.00 / $737.20	Professional		$547.20	$646.00	$737.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $2,208.17	Facility		$1,235.00	$1,235.00	$2,208.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,669.01 / $2,000.03	Professional		$760.00	$1,669.01	$2,000.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.40 / $737.20 / $1,672.00	Facility		$562.40	$737.20	$1,672.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $1,026.00	Professional		$760.00	$760.00	$1,026.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $775.20 / $1,064.00	Facility		$760.00	$775.20	$1,064.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $912.00 / $2,016.07	Facility		$570.00	$912.00	$2,016.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $836.00 / $836.00 / $1,064.00	Professional		$836.00	$836.00	$1,064.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,047.36 / $2,460.88 / $2,983.53	Facility		$2,047.36	$2,460.88	$2,983.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,214.58 / $1,781.88 / $2,390.59	Professional		$1,214.58	$1,781.88	$2,390.59
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $798.00	Professional		$319.20	$319.20	$798.00