Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.95 / $1,005.84 / $7,920.26	Facility		$787.95	$1,005.84	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.36 / $456.84 / $1,232.57	Professional		$306.36	$456.84	$1,232.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.30 / $826.61 / $1,229.76	Professional		$548.30	$826.61	$1,229.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.20 / $837.30 / $1,066.90	Professional		$582.20	$837.30	$1,066.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.96 / $655.59 / $1,087.76	Facility		$440.96	$655.59	$1,087.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $578.55 / $749.50 / $1,150.09	Professional		$578.55	$749.50	$1,150.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $526.67 / $823.02 / $909.86	Facility		$526.67	$823.02	$909.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.96 / $656.29 / $1,154.14	Facility		$440.96	$656.29	$1,154.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $647.64 / $845.44 / $1,148.86	Professional		$647.64	$845.44	$1,148.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $900.57 / $1,274.82 / $1,579.21	Facility		$900.57	$1,274.82	$1,579.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $674.56 / $889.03 / $1,274.39	Professional		$674.56	$889.03	$1,274.39
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $597.52 / $881.48 / $1,364.34	Professional		$597.52	$881.48	$1,364.34