Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.43 / $2,792.00 / $7,920.26	Facility		$284.43	$2,792.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $366.44 / $841.04	Professional		$104.59	$366.44	$841.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $422.70 / $1,113.19	Professional		$163.50	$422.70	$1,113.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.88 / $351.72 / $917.98	Professional		$265.88	$351.72	$917.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.73 / $405.26 / $1,319.36	Facility		$181.73	$405.26	$1,319.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $537.60 / $1,031.04	Professional		$190.20	$537.60	$1,031.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.06 / $733.53 / $1,012.41	Facility		$213.06	$733.53	$1,012.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.73 / $607.55 / $1,395.63	Facility		$181.73	$607.55	$1,395.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.80 / $568.89 / $1,080.42	Professional		$222.80	$568.89	$1,080.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,868.81 / $5,124.10 / $6,421.06	Facility		$3,868.81	$5,124.10	$6,421.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $438.99 / $1,139.39	Professional		$240.98	$438.99	$1,139.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.84 / $946.45 / $1,235.02	Professional		$619.84	$946.45	$1,235.02