Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.32 / $977.52 / $7,920.26	Facility		$765.32	$977.52	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.42 / $449.19 / $1,147.52	Professional		$316.42	$449.19	$1,147.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.86 / $754.04 / $1,171.20	Professional		$417.86	$754.04	$1,171.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.39 / $932.08 / $1,069.55	Professional		$779.39	$932.08	$1,069.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $435.17 / $664.64 / $906.16	Facility		$435.17	$664.64	$906.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $562.53 / $682.12 / $1,107.77	Professional		$562.53	$682.12	$1,107.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $462.15 / $717.40 / $858.84	Facility		$462.15	$717.40	$858.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.17 / $658.80 / $1,014.19	Facility		$435.17	$658.80	$1,014.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $622.88 / $824.02 / $1,136.66	Professional		$622.88	$824.02	$1,136.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $678.34 / $947.46 / $1,248.05	Professional		$678.34	$947.46	$1,248.05
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.01 / $748.01 / $1,356.50	Professional		$539.01	$748.01	$1,356.50