Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.41 / $1,762.48 / $3,240.00	Facility		$949.41	$1,762.48	$3,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $719.07 / $1,101.32	Professional		$455.72	$719.07	$1,101.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,234.23 / $1,699.13 / $2,206.79	Facility		$1,234.23	$1,699.13	$2,206.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.33 / $822.44 / $1,362.90	Professional		$444.33	$822.44	$1,362.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $1,852.10 / $1,998.31	Professional		$759.53	$1,852.10	$1,998.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $759.53 / $1,583.99	Facility		$562.04	$759.53	$1,583.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $759.53 / $1,025.36	Professional		$759.53	$759.53	$1,025.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.53 / $835.48 / $1,676.66	Facility		$759.53	$835.48	$1,676.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.07 / $911.44 / $1,588.62	Facility		$660.07	$911.44	$1,588.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.58 / $835.48 / $1,093.72	Professional		$683.58	$835.48	$1,093.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,481.08 / $2,311.25 / $3,137.92	Facility		$1,481.08	$2,311.25	$3,137.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $1,411.83 / $2,123.35	Professional		$486.30	$1,411.83	$2,123.35
United Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $319.00 / $759.53	Professional		$37.72	$319.00	$759.53