Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $7,943.28	Facility		$912.01	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,659.59	Professional		$537.03	$660.69	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,071.52 / $1,621.81	Professional		$512.86	$1,071.52	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,479.11	Professional		$891.25	$1,230.27	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,412.54	Facility		$602.56	$831.76	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,513.56	Professional		$870.96	$1,071.52	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,230.27	Facility		$831.76	$1,122.02	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $1,412.54	Facility		$588.84	$851.14	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,659.59	Professional		$79.43	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,548.13	Facility		$2,238.72	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,659.59	Professional		$1,096.48	$1,288.25	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,698.24	Professional		$660.69	$1,148.15	$1,698.24