Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.56 / $2,747.00 / $7,920.26	Facility		$905.56	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.46 / $628.82 / $1,766.21	Professional		$431.46	$628.82	$1,766.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.49 / $886.42 / $1,256.54	Professional		$451.49	$886.42	$1,256.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.28 / $961.56 / $1,189.74	Professional		$732.28	$961.56	$1,189.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $825.48 / $1,294.91	Facility		$478.13	$825.48	$1,294.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $706.86 / $809.10 / $1,348.74	Professional		$706.86	$809.10	$1,348.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $643.41 / $867.65 / $919.91	Facility		$643.41	$867.65	$919.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.27 / $947.20 / $1,294.91	Facility		$503.27	$947.20	$1,294.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $770.28 / $982.72 / $1,260.94	Professional		$770.28	$982.72	$1,260.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,358.36 / $2,358.36 / $2,358.36	Facility		$2,358.36	$2,358.36	$2,358.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $838.29 / $1,066.13 / $1,291.44	Professional		$838.29	$1,066.13	$1,291.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.54 / $917.01 / $1,429.03	Professional		$634.54	$917.01	$1,429.03