Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $6,606.93	Facility		$794.33	$1,380.38	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,445.44	Professional		$478.63	$575.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,513.56	Professional		$562.34	$977.24	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,513.56	Professional		$933.25	$1,202.26	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,288.25	Facility		$524.81	$812.83	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,445.44	Professional		$812.83	$977.24	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,148.15	Facility		$758.58	$1,047.13	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $1,202.26	Facility		$512.86	$812.83	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,023.29 / $1,479.11	Professional		$79.43	$1,023.29	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,548.82	Professional		$851.14	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,479.11	Professional		$676.08	$1,000.00	$1,479.11