Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.50 / $1,325.30 / $2,559.19	Facility		$1,142.50	$1,325.30	$2,559.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $886.58 / $1,782.30	Professional		$719.07	$886.58	$1,782.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,485.25 / $1,485.25 / $2,655.63	Facility		$1,485.25	$1,485.25	$2,655.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.69 / $1,051.04 / $1,639.59	Professional		$534.69	$1,051.04	$1,639.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $2,229.14 / $2,405.15	Professional		$914.00	$2,229.14	$2,405.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $914.00 / $1,906.15	Facility		$457.00	$914.00	$1,906.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,243.04	Professional		$914.00	$914.00	$1,243.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $1,730.20	Facility		$914.00	$914.00	$1,730.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $1,096.80 / $1,928.54	Facility		$457.00	$1,096.80	$1,928.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,008.27 / $1,316.16	Professional		$914.00	$1,008.27	$1,316.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,828.00 / $2,781.30 / $3,588.27	Facility		$1,828.00	$2,781.30	$3,588.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.74 / $1,699.11 / $2,555.41	Professional		$831.74	$1,699.11	$2,555.41
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $1,096.80	Professional		$383.88	$383.88	$1,096.80