Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $2,740.85 / $8,455.00	Professional		$1,620.00	$2,740.85	$8,455.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,023.70 / $4,023.70 / $4,023.70	Professional		$4,023.70	$4,023.70	$4,023.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $554.59 / $1,063.00 / $1,703.00	Facility		$554.59	$1,063.00	$1,703.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,644,398.00	Facility		$1,664.70	$1,664.70	$1,644,398.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,217.60 / $2,633.84	Facility		$1,719.37	$2,217.60	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.71 / $818.37 / $884.86	Professional		$219.71	$818.37	$884.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $2,261.00 / $4,911.00	Facility		$1,096.00	$2,261.00	$4,911.00