Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.13 / $2,747.00 / $7,920.26	Facility		$915.13	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.83 / $610.21 / $2,400.66	Professional		$505.83	$610.21	$2,400.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.50 / $1,029.03 / $1,383.61	Professional		$618.50	$1,029.03	$1,383.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.68 / $1,042.17 / $1,186.38	Professional		$733.68	$1,042.17	$1,186.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.21 / $951.62 / $1,427.28	Facility		$610.21	$951.62	$1,427.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $754.15 / $976.71 / $1,499.16	Professional		$754.15	$976.71	$1,499.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.51 / $893.75 / $970.83	Facility		$685.51	$893.75	$970.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.21 / $1,016.91 / $1,311.95	Facility		$610.21	$1,016.91	$1,311.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $797.43 / $1,090.44 / $1,436.45	Professional		$797.43	$1,090.44	$1,436.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,482.56 / $2,482.56 / $2,482.56	Facility		$2,482.56	$2,482.56	$2,482.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $858.58 / $1,129.50 / $1,487.86	Professional		$858.58	$1,129.50	$1,487.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.32 / $1,084.81 / $1,471.40	Professional		$710.32	$1,084.81	$1,471.40