Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $13,182.57	Facility		$977.24	$1,513.56	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,412.54	Professional		$467.74	$707.95	$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 $616.60 / $1,047.13 / $1,778.28	Professional		$616.60	$1,047.13	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,737.80	Professional		$912.01	$1,230.27	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $1,513.56	Facility		$524.81	$933.25	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,659.59	Professional		$794.33	$1,122.02	$1,659.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,380.38	Facility		$933.25	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $1,412.54	Facility		$512.86	$933.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,148.15 / $1,698.24	Professional		$79.43	$1,148.15	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,737.80	Professional		$912.01	$1,288.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,698.24	Professional		$707.95	$1,096.48	$1,698.24