Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $7,943.28	Facility		$645.65	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $1,412.54	Professional		$288.40	$478.63	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $1,288.25	Professional		$371.54	$724.44	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,380.38	Professional		$602.56	$891.25	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $1,071.52	Facility		$295.12	$562.34	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,230.27	Professional		$467.74	$758.58	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,047.13	Facility		$562.34	$891.25	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $1,071.52	Facility		$275.42	$549.54	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $741.31 / $1,288.25	Professional		$79.43	$741.31	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,456.54	Facility		$3,890.45	$5,128.61	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,318.26	Professional		$588.84	$870.96	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,230.27	Professional		$436.52	$758.58	$1,230.27