Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.46 / $985.38 / $1,902.80	Facility		$849.46	$985.38	$1,902.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $638.79 / $1,291.18	Professional		$407.74	$638.79	$1,291.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.30 / $1,104.30 / $1,974.49	Facility		$1,104.30	$1,104.30	$1,974.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.55 / $749.60 / $1,218.97	Professional		$397.55	$749.60	$1,218.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $1,657.28 / $1,788.11	Professional		$679.57	$1,657.28	$1,788.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $679.57 / $1,417.24	Facility		$407.74	$679.57	$1,417.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $679.57 / $917.42	Professional		$679.57	$679.57	$917.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.57 / $747.53 / $1,500.15	Facility		$679.57	$747.53	$1,500.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $815.48 / $1,433.89	Facility		$407.74	$815.48	$1,433.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $747.53 / $978.58	Professional		$679.57	$747.53	$978.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,325.16 / $2,067.92 / $2,667.92	Facility		$1,325.16	$2,067.92	$2,667.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $618.41 / $1,263.15 / $1,899.74	Professional		$618.41	$1,263.15	$1,899.74
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $285.42 / $713.55	Professional		$285.42	$285.42	$713.55