Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $7,943.28	Facility		$575.44	$912.01	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $891.25	Professional		$251.19	$398.11	$891.25
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 $346.74 / $588.84 / $1,047.13	Professional		$346.74	$588.84	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $954.99	Professional		$467.74	$645.65	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $549.54 / $933.25	Facility		$309.03	$549.54	$933.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $954.99	Professional		$436.52	$645.65	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $851.14	Facility		$575.44	$758.58	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $891.25	Facility		$323.59	$537.03	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $630.96 / $1,000.00	Professional		$79.43	$630.96	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $977.24	Professional		$478.63	$707.95	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,047.13	Professional		$398.11	$645.65	$1,047.13