Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $13,803.84	Facility		$707.95	$1,047.13	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,148.15	Professional		$416.87	$512.86	$1,148.15
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 $478.63 / $691.83 / $1,148.15	Professional		$478.63	$691.83	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,096.48	Professional		$489.78	$851.14	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,096.48	Facility		$446.68	$645.65	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,148.15	Professional		$602.56	$758.58	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $912.01	Facility		$616.60	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $1,047.13	Facility		$416.87	$645.65	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $1,122.02	Professional		$79.43	$776.25	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,801.89	Facility		$2,290.87	$3,162.28	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,174.90	Professional		$776.25	$954.99	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $7,413.10	Facility		$1,698.24	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,174.90	Professional		$512.86	$794.33	$1,174.90