Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $730.80 / $1,411.20	Facility		$630.00	$730.80	$1,411.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.88 / $488.88 / $982.80	Professional		$362.88	$488.88	$982.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $819.00 / $1,464.37	Facility		$819.00	$819.00	$1,464.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $555.87 / $904.10	Professional		$294.83	$555.87	$904.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $1,228.94 / $1,325.98	Professional		$504.00	$1,228.94	$1,325.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $504.00 / $1,051.08	Facility		$302.39	$504.00	$1,051.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $680.40	Professional		$504.00	$504.00	$680.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $554.40 / $1,112.58	Facility		$504.00	$554.40	$1,112.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $604.79 / $1,063.44	Facility		$302.39	$604.79	$1,063.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $554.40 / $725.76	Professional		$504.00	$554.40	$725.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $982.80 / $1,533.67 / $1,978.65	Facility		$982.80	$1,533.67	$1,978.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $458.64 / $936.81 / $1,408.93	Professional		$458.64	$936.81	$1,408.93
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $211.68 / $504.00	Professional		$211.68	$211.68	$504.00