Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $435.00 / $840.00	Facility		$375.00	$435.00	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $255.00 / $585.00	Professional		$66.20	$255.00	$585.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $487.50 / $871.65	Facility		$487.50	$487.50	$871.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.17 / $330.74 / $538.11	Professional		$263.17	$330.74	$538.11
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 $214.14 / $291.00 / $625.65	Facility		$214.14	$291.00	$625.65
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 / $330.00 / $662.25	Facility		$300.00	$330.00	$662.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.00 / $379.50 / $660.00	Facility		$291.00	$379.50	$660.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $330.00 / $432.00	Professional		$122.64	$330.00	$432.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $885.57 / $1,177.77	Facility		$525.00	$885.57	$1,177.77
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 Facility Modifier Low / Median / High Price $450.00 / $450.00 / $480.00	Facility		$450.00	$450.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $126.00 / $300.00	Professional		$36.70	$126.00	$300.00