Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $7,943.28	Facility		$691.83	$1,288.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,412.54	Professional		$467.74	$575.44	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,412.54	Professional		$512.86	$912.01	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,258.93	Professional		$812.83	$1,096.48	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $1,230.27	Facility		$512.86	$758.58	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,348.96	Professional		$758.58	$912.01	$1,348.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,047.13	Facility		$758.58	$977.24	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $1,148.15	Facility		$512.86	$758.58	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $977.24 / $1,380.38	Professional		$79.43	$977.24	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,479.11	Professional		$851.14	$1,071.52	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,000.00 / $1,412.54	Professional		$676.08	$1,000.00	$1,412.54