Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $7,943.28	Facility		$707.95	$1,202.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,174.90	Professional		$416.87	$512.86	$1,174.90
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 $489.78 / $851.14 / $1,348.96	Professional		$489.78	$851.14	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,348.96	Professional		$851.14	$1,071.52	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,122.02	Facility		$467.74	$707.95	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,288.25	Professional		$707.95	$851.14	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,023.29	Facility		$660.69	$912.01	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,071.52	Facility		$457.09	$707.95	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,288.25	Professional		$79.43	$891.25	$1,288.25
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 $724.44 / $977.24 / $1,380.38	Professional		$724.44	$977.24	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,288.25	Professional		$575.44	$870.96	$1,288.25