Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $1,305.00 / $2,520.00	Facility		$1,125.00	$1,305.00	$2,520.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $765.00 / $1,350.00	Professional		$306.00	$765.00	$1,350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $1,627.32 / $2,614.94	Facility		$1,462.50	$1,627.32	$2,614.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.21 / $992.57 / $1,614.92	Professional		$789.21	$992.57	$1,614.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,975.82 / $2,367.69	Professional		$900.00	$1,975.82	$2,367.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $945.00 / $1,980.00	Facility		$675.00	$945.00	$1,980.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,215.00	Professional		$900.00	$900.00	$1,215.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $945.00 / $1,986.75	Facility		$900.00	$945.00	$1,986.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $1,138.50 / $2,187.05	Facility		$945.00	$1,138.50	$2,187.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $990.00 / $1,296.00	Professional		$900.00	$990.00	$1,296.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $2,738.70 / $3,533.31	Facility		$1,755.00	$2,738.70	$3,533.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,589.62 / $1,769.98 / $2,830.76	Professional		$1,589.62	$1,769.98	$2,830.76
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $1,080.00	Professional		$378.00	$378.00	$1,080.00