Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $8,728.00	Facility		$988.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.12 / $658.19 / $1,306.31	Professional		$434.12	$658.19	$1,306.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.38 / $938.72 / $1,431.16	Professional		$554.38	$938.72	$1,431.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $941.96 / $1,105.59 / $1,326.40	Professional		$941.96	$1,105.59	$1,326.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $615.53 / $865.44 / $1,142.40	Facility		$615.53	$865.44	$1,142.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $864.38 / $1,333.61	Professional		$734.40	$864.38	$1,333.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.73 / $911.20 / $1,011.70	Facility		$589.73	$911.20	$1,011.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.91 / $968.86 / $2,450.00	Facility		$636.91	$968.86	$2,450.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $826.17 / $997.92 / $1,377.68	Professional		$826.17	$997.92	$1,377.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $911.11 / $1,178.56 / $1,583.99	Professional		$911.11	$1,178.56	$1,583.99
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.90 / $980.71 / $1,510.85	Professional		$698.90	$980.71	$1,510.85