Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $6,606.93	Facility		$758.58	$1,318.26	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,258.93	Professional		$457.09	$549.54	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $1,445.44	Professional		$549.54	$933.25	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,412.54	Professional		$933.25	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,230.27	Facility		$512.86	$794.33	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,380.38	Professional		$776.25	$954.99	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,096.48	Facility		$741.31	$1,000.00	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,174.90	Facility		$524.81	$794.33	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,412.54	Professional		$79.43	$1,000.00	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,479.11	Professional		$870.96	$1,047.13	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,412.54	Professional		$660.69	$954.99	$1,412.54