Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,131.00 / $2,184.00	Facility		$975.00	$1,131.00	$2,184.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $756.60 / $1,521.00	Professional		$561.60	$756.60	$1,521.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,267.50 / $2,266.29	Facility		$1,267.50	$1,267.50	$2,266.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.94 / $860.20 / $1,399.32	Professional		$683.94	$860.20	$1,399.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,712.34 / $2,051.94	Professional		$780.00	$1,712.34	$2,051.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $819.00 / $1,716.00	Facility		$585.00	$819.00	$1,716.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $1,053.00	Professional		$780.00	$780.00	$1,053.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $819.00 / $1,721.85	Facility		$780.00	$819.00	$1,721.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $986.70 / $1,895.72	Facility		$819.00	$986.70	$1,895.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $822.24 / $897.00 / $1,123.20	Professional		$822.24	$897.00	$1,123.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,521.00 / $2,373.54 / $3,062.20	Facility		$1,521.00	$2,373.54	$3,062.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,377.75 / $1,533.85 / $2,453.46	Professional		$1,377.75	$1,533.85	$2,453.46
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $819.00	Professional		$327.60	$327.60	$819.00