Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,479.11 / $1,905.46	Facility		$794.33	$1,479.11	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $1,348.96	Professional		$776.25	$794.33	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,090.30	Facility		$1,621.81	$1,621.81	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $3,019.95	Professional		$45.71	$109.65	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $1,698.24	Facility		$56.23	$56.23	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $1,202.26	Professional		$56.23	$85.11	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,089.30	Facility		$1,949.84	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $3,388.44	Facility		$794.33	$1,548.82	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $812.83 / $3,019.95	Professional		$77.62	$812.83	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $6,456.54	Facility		$1,698.24	$3,090.30	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $912.01	Professional		$794.33	$794.33	$912.01