Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $11,220.18	Facility		$724.44	$1,174.90	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,096.48	Professional		$309.03	$478.63	$1,096.48
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 $416.87 / $741.31 / $1,288.25	Professional		$416.87	$741.31	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,202.26	Professional		$602.56	$831.76	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $660.69 / $1,148.15	Facility		$380.19	$660.69	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,148.15	Professional		$537.03	$812.83	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $977.24	Facility		$645.65	$954.99	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $1,023.29	Facility		$363.08	$645.65	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,230.27	Professional		$79.43	$776.25	$1,230.27
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 $616.60 / $891.25 / $1,230.27	Professional		$616.60	$891.25	$1,230.27
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 $478.63 / $776.25 / $1,202.26	Professional		$478.63	$776.25	$1,202.26