Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $7,943.28	Facility		$954.99	$1,202.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,288.25	Professional		$426.58	$537.03	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,288.25	Professional		$467.74	$831.76	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,122.02	Professional		$707.95	$933.25	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $707.95 / $1,148.15	Facility		$446.68	$707.95	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,174.90	Professional		$707.95	$851.14	$1,174.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $933.25	Facility		$660.69	$870.96	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,071.52	Facility		$457.09	$707.95	$1,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $891.25 / $1,230.27	Professional		$79.43	$891.25	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,165.95 / $7,413.10	Facility		$4,897.79	$6,165.95	$7,413.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,348.96	Professional		$831.76	$933.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,258.93	Professional		$602.56	$891.25	$1,258.93