Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,380.38	Professional		$630.96	$831.76	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
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 $1,258.93 / $3,019.95 / $3,715.35	Professional		$1,258.93	$3,019.95	$3,715.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,659.59	Facility		$1,000.00	$1,230.27	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,778.28	Professional		$1,202.26	$1,318.26	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,659.59	Facility		$1,288.25	$1,412.54	$1,659.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $1,659.59	Professional		$1,412.54	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,348.96 / $1,905.46	Facility		$776.25	$1,348.96	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,445.44 / $1,737.80	Professional		$87.10	$1,445.44	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $6,309.57	Facility		$1,380.38	$2,344.23	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $1,862.09	Professional		$1,659.59	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $3,019.95	Facility		$660.69	$933.25	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,318.26	Professional		$616.60	$691.83	$1,318.26