Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.27 / $2,747.00 / $7,920.26	Facility		$492.27	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $413.56 / $1,210.33	Professional		$200.62	$413.56	$1,210.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.43 / $617.61 / $1,281.16	Professional		$356.43	$617.61	$1,281.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.80 / $580.17 / $1,113.60	Professional		$459.80	$580.17	$1,113.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.27 / $641.59 / $969.37	Facility		$306.27	$641.59	$969.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.92 / $594.96 / $1,029.23	Professional		$354.92	$594.96	$1,029.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.24 / $835.34 / $1,029.48	Facility		$478.24	$835.34	$1,029.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $306.27 / $677.88 / $1,260.77	Facility		$306.27	$677.88	$1,260.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.17 / $665.72 / $1,244.30	Professional		$415.17	$665.72	$1,244.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,265.38 / $2,911.98 / $3,609.89	Facility		$2,265.38	$2,911.98	$3,609.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $419.24 / $702.36 / $1,327.73	Professional		$419.24	$702.36	$1,327.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.36 / $1,063.91 / $1,524.77	Professional		$636.36	$1,063.91	$1,524.77