Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.85 / $2,747.00 / $7,920.26	Facility		$793.85	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $525.29 / $1,343.72	Professional		$352.70	$525.29	$1,343.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.28 / $826.60 / $1,318.30	Professional		$495.28	$826.60	$1,318.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.40 / $933.63 / $1,196.85	Professional		$752.40	$933.63	$1,196.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.96 / $790.08 / $1,120.50	Facility		$502.96	$790.08	$1,120.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $604.36 / $818.24 / $1,173.42	Professional		$604.36	$818.24	$1,173.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $622.29 / $894.45 / $1,012.05	Facility		$622.29	$894.45	$1,012.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.96 / $859.32 / $1,288.44	Facility		$502.96	$859.32	$1,288.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.78 / $926.28 / $1,304.63	Professional		$676.78	$926.28	$1,304.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $678.40 / $965.27 / $1,372.71	Professional		$678.40	$965.27	$1,372.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $706.08 / $981.13 / $1,544.68	Professional		$706.08	$981.13	$1,544.68