Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.26 / $751.26 / $751.26	Facility		$751.26	$751.26	$751.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $722.00 / $722.00	Professional		$722.00	$722.00	$722.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.36 / $1,344.36 / $1,344.36	Facility		$1,344.36	$1,344.36	$1,344.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,555.09 / $1,793.73 / $1,935.34	Professional		$1,555.09	$1,793.73	$1,935.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $869.88 / $1,552.30	Facility		$722.00	$869.88	$1,552.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.26 / $828.92 / $1,381.54	Facility		$751.26	$828.92	$1,381.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $939.08 / $1,552.30	Facility		$722.00	$939.08	$1,552.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $939.08 / $1,314.71	Professional		$739.40	$939.08	$1,314.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $751.26 / $751.26 / $751.26	Professional		$751.26	$751.26	$751.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $114.40 / $756.96	Professional		$85.80	$114.40	$756.96