Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $1,325.30 / $2,559.19	Facility		$0.03	$1,325.30	$2,559.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.61 / $1,736.60 / $5,877.02	Professional		$1,215.61	$1,736.60	$5,877.02
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 / $1,229.70 / $1,793.07	Professional		$534.69	$1,229.70	$1,793.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $2,007.06 / $2,405.15	Professional		$914.00	$2,007.06	$2,405.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $822.60 / $1,233.90 / $2,218.59	Facility		$822.60	$1,233.90	$2,218.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,233.90	Professional		$914.00	$914.00	$1,233.90
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 $1,051.09 / $1,160.78 / $2,406.11	Facility		$1,051.09	$1,160.78	$2,406.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,005.40 / $1,051.09 / $1,316.16	Professional		$1,005.40	$1,051.09	$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 $1,614.15 / $1,797.20 / $2,874.46	Professional		$1,614.15	$1,797.20	$2,874.46
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $959.70	Professional		$383.88	$383.88	$959.70