Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $7,943.28	Facility		$912.01	$1,174.90	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,122.02	Professional		$407.38	$537.03	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,000.00 / $1,412.54	Professional		$512.86	$1,000.00	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,122.02	Professional		$645.65	$851.14	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,584.89	Facility		$446.68	$691.83	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,202.26	Professional		$660.69	$776.25	$1,202.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $933.25	Facility		$616.60	$851.14	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $1,023.29	Facility		$446.68	$616.60	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $1,202.26	Professional		$79.43	$851.14	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,258.93	Professional		$851.14	$1,000.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Professional		$549.54	$851.14	$1,258.93