Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $4,073.80	Facility		$1,122.02	$1,380.38	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $741.31 / $1,380.38	Professional		$309.03	$741.31	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $2,630.27	Facility		$1,479.11	$1,621.81	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,000.00 / $1,621.81	Professional		$331.13	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,949.84 / $2,344.23	Professional		$891.25	$1,949.84	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,023.29	Facility		$891.25	$891.25	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,258.93	Professional		$741.31	$891.25	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Facility		$891.25	$891.25	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $2,630.27	Facility		$676.08	$1,258.93	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,000.00 / $1,288.25	Professional		$331.13	$1,000.00	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $3,548.13	Facility		$1,348.96	$2,630.27	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,071.52	Professional		$724.44	$758.58	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,445.44	Facility		$1,071.52	$1,071.52	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,071.52	Professional		$380.19	$380.19	$1,071.52