Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.35 / $1,274.35 / $2,223.71	Facility		$1,274.35	$1,274.35	$2,223.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $495.86 / $495.86	Professional		$368.06	$495.86	$495.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.70 / $1,279.28 / $1,485.29	Facility		$830.70	$1,279.28	$1,485.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.05 / $587.29 / $734.11	Professional		$511.05	$587.29	$734.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $1,246.31 / $1,344.71	Professional		$511.20	$1,246.31	$1,344.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $511.20 / $1,066.09	Facility		$306.72	$511.20	$1,066.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $511.20 / $690.12	Professional		$511.20	$511.20	$690.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $536.76 / $715.68	Facility		$511.20	$536.76	$715.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $545.45 / $1,066.09	Facility		$306.72	$545.45	$1,066.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $485.64 / $562.32 / $715.68	Professional		$485.64	$562.32	$715.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.67 / $610.22 / $1,260.29	Professional		$457.67	$610.22	$1,260.29
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $214.70 / $613.44	Professional		$214.70	$214.70	$613.44