Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $4,283.46 / $8,728.00	Facility		$348.75	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $414.90 / $1,047.44	Professional		$159.15	$414.90	$1,047.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.21 / $448.02 / $1,129.59	Professional		$245.21	$448.02	$1,129.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $439.88 / $1,019.89	Professional		$299.39	$439.88	$1,019.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.22 / $473.91 / $1,063.51	Facility		$239.22	$473.91	$1,063.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $598.74 / $997.90	Professional		$267.95	$598.74	$997.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.91 / $750.22 / $852.91	Facility		$316.91	$750.22	$852.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.70 / $567.04 / $1,149.30	Facility		$241.70	$567.04	$1,149.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $301.86 / $539.16 / $1,099.29	Professional		$301.86	$539.16	$1,099.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.98 / $699.88 / $1,143.18	Professional		$302.98	$699.88	$1,143.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.97 / $849.35 / $1,333.30	Professional		$568.97	$849.35	$1,333.30