Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $754.00 / $1,456.00	Facility		$650.00	$754.00	$1,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $488.80 / $1,014.00	Professional		$374.40	$488.80	$1,014.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.00 / $1,301.30 / $1,510.86	Facility		$845.00	$1,301.30	$1,510.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $573.71 / $932.88	Professional		$547.91	$573.71	$932.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $1,142.03 / $1,368.54	Professional		$520.00	$1,142.03	$1,368.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $546.00 / $1,144.00	Facility		$390.00	$546.00	$1,144.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $702.00	Professional		$520.00	$520.00	$702.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $546.00 / $1,147.90	Facility		$520.00	$546.00	$1,147.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $657.80 / $1,301.30	Facility		$546.00	$657.80	$1,301.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.66 / $598.00 / $748.80	Professional		$552.66	$598.00	$748.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $1,582.36 / $2,041.47	Facility		$1,014.00	$1,582.36	$2,041.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $918.70 / $1,022.79 / $1,636.00	Professional		$918.70	$1,022.79	$1,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $546.00	Professional		$218.40	$218.40	$546.00