Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,000.00	Facility		$602.56	$912.01	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,071.52	Professional		$398.11	$524.81	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $1,479.11	Facility		$288.40	$288.40	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,348.96	Professional		$389.05	$741.31	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,023.29	Professional		$741.31	$831.76	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $1,000.00	Facility		$389.05	$630.96	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,202.26	Professional		$630.96	$812.83	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $1,096.48	Facility		$616.60	$741.31	$1,096.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $363.08	Professional		$229.09	$363.08	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $1,412.54	Facility		$407.38	$707.95	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $1,230.27	Professional		$416.87	$870.96	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $2,089.30	Facility		$776.25	$1,621.81	$2,089.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,096.48	Professional		$691.83	$891.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,691.53	Facility		$1,659.59	$2,041.74	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,288.25	Professional		$380.19	$707.95	$1,288.25