Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.04 / $1,292.65 / $7,920.26	Facility		$725.04	$1,292.65	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $510.88 / $1,160.33	Professional		$331.83	$510.88	$1,160.33
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 $508.19 / $888.69 / $1,395.77	Professional		$508.19	$888.69	$1,395.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.36 / $956.62 / $1,260.22	Professional		$760.36	$956.62	$1,260.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.00 / $763.94 / $1,169.44	Facility		$502.00	$763.94	$1,169.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.08 / $835.40 / $1,175.94	Professional		$595.08	$835.40	$1,175.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.80 / $956.75 / $1,043.19	Facility		$605.80	$956.75	$1,043.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $510.88 / $787.79 / $1,407.84	Facility		$510.88	$787.79	$1,407.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $668.43 / $961.92 / $1,346.63	Professional		$668.43	$961.92	$1,346.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $672.69 / $993.52 / $1,455.16	Professional		$672.69	$993.52	$1,455.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $693.22 / $1,039.83 / $1,594.39	Professional		$693.22	$1,039.83	$1,594.39