Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $696.14 / $1,200.00	Facility		$375.00	$696.14	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $280.08 / $585.00	Professional		$216.00	$280.08	$585.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $750.75 / $871.65	Facility		$487.50	$750.75	$871.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $318.99 / $579.28	Professional		$153.16	$318.99	$579.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $658.36 / $788.95	Professional		$300.00	$658.36	$788.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $315.00 / $660.00	Facility		$225.00	$315.00	$660.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $405.00	Professional		$300.00	$300.00	$405.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $315.00 / $662.25	Facility		$300.00	$315.00	$662.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $379.50 / $807.59	Facility		$315.00	$379.50	$807.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $345.00 / $450.00	Professional		$316.07	$345.00	$450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $912.90 / $1,239.42	Facility		$585.00	$912.90	$1,239.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $529.66 / $589.99 / $943.23	Professional		$529.66	$589.99	$943.23
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $138.38 / $360.00	Professional		$126.00	$138.38	$360.00