Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $7,943.28	Facility		$870.96	$1,348.96	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,380.38	Professional		$436.52	$660.69	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,479.11	Professional		$537.03	$870.96	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,445.44	Professional		$602.56	$891.25	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,412.54	Facility		$478.63	$812.83	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,380.38	Professional		$645.65	$977.24	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,202.26	Facility		$831.76	$1,122.02	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,348.96	Facility		$467.74	$794.33	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $933.25 / $1,412.54	Professional		$79.43	$933.25	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $8,709.64	Facility		$5,495.41	$7,413.10	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,548.82	Professional		$831.76	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,513.56	Professional		$616.60	$954.99	$1,513.56