Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.70 / $1,982.04 / $2,142.16	Facility		$886.70	$1,982.04	$2,142.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.22 / $533.62 / $1,893.00	Professional		$365.22	$533.62	$1,893.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,505.00 / $102,505.00 / $102,505.00	Facility		$102,505.00	$102,505.00	$102,505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.04 / $898.85 / $1,161.10	Professional		$629.04	$898.85	$1,161.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.41 / $987.07 / $1,111.25	Professional		$820.41	$987.07	$1,111.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $533.62 / $840.45 / $1,080.18	Facility		$533.62	$840.45	$1,080.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.00 / $731.28 / $1,366.51	Professional		$604.00	$731.28	$1,366.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.10 / $795.29 / $848.89	Facility		$575.10	$795.29	$848.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.08 / $1,058.79 / $1,457.05	Facility		$763.08	$1,058.79	$1,457.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $670.23 / $930.95 / $1,228.99	Professional		$670.23	$930.95	$1,228.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $983.83 / $1,197.64	Professional		$756.50	$983.83	$1,197.64
United Facility/Professional Professional Modifier Low / Median / High Price $525.98 / $566.29 / $1,344.75	Professional		$525.98	$566.29	$1,344.75