Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.50 / $1,522.50 / $2,940.00	Facility		$1,312.50	$1,522.50	$2,940.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $987.00 / $2,047.50	Professional		$756.00	$987.00	$2,047.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,706.25 / $2,627.63 / $3,050.78	Facility		$1,706.25	$2,627.63	$3,050.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.79 / $1,158.10 / $1,883.98	Professional		$920.79	$1,158.10	$1,883.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $2,560.44 / $2,762.58	Professional		$1,050.00	$2,560.44	$2,762.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $1,050.00 / $2,189.78	Facility		$661.50	$1,050.00	$2,189.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,417.50	Professional		$1,050.00	$1,050.00	$1,417.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,102.50 / $2,317.88	Facility		$1,050.00	$1,102.50	$2,317.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.50 / $1,260.00 / $2,289.00	Facility		$661.50	$1,260.00	$2,289.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,155.00 / $1,512.00	Professional		$1,050.00	$1,155.00	$1,512.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,047.50 / $3,195.15 / $4,122.20	Facility		$2,047.50	$3,195.15	$4,122.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $940.25 / $1,952.37 / $2,936.30	Professional		$940.25	$1,952.37	$2,936.30
United Facility/Professional Professional Modifier Low / Median / High Price $437.79 / $441.00 / $1,260.00	Professional		$437.79	$441.00	$1,260.00