Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,466.84 / $13,182.57	Facility		$891.25	$4,466.84	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,412.54	Professional		$407.38	$524.81	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,230.27	Professional		$478.63	$812.83	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,096.48	Professional		$691.83	$912.01	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $691.83 / $1,096.48	Facility		$436.52	$691.83	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,148.15	Professional		$645.65	$794.33	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $851.14 / $912.01	Facility		$691.83	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $676.08 / $977.24	Facility		$436.52	$676.08	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $831.76 / $1,202.26	Professional		$79.43	$831.76	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,165.95	Facility		$3,801.89	$5,011.87	$6,165.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,288.25	Professional		$776.25	$912.01	$1,288.25
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 $575.44 / $851.14 / $1,202.26	Professional		$575.44	$851.14	$1,202.26