Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.27 / $1,844.52 / $7,920.26	Facility		$784.27	$1,844.52	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $632.52 / $1,170.27	Professional		$348.00	$632.52	$1,170.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.08 / $990.11 / $1,856.33	Professional		$573.08	$990.11	$1,856.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.45 / $838.59 / $1,601.68	Professional		$633.45	$838.59	$1,601.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $469.64 / $908.85 / $1,579.50	Facility		$469.64	$908.85	$1,579.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $582.88 / $1,089.82 / $1,419.59	Professional		$582.88	$1,089.82	$1,419.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.06 / $1,199.96 / $1,370.15	Facility		$674.06	$1,199.96	$1,370.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.28 / $918.87 / $1,743.66	Facility		$486.28	$918.87	$1,743.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $656.59 / $1,031.42 / $1,712.69	Professional		$656.59	$1,031.42	$1,712.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $1,120.16 / $1,925.32	Professional		$680.42	$1,120.16	$1,925.32
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 $891.76 / $1,243.44 / $1,947.31	Professional		$891.76	$1,243.44	$1,947.31