Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $2,344.23	Facility		$645.65	$794.33	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $954.99	Professional		$338.84	$436.52	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,513.56	Facility		$851.14	$1,348.96	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $933.25	Professional		$416.87	$575.44	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,380.38	Professional		$524.81	$1,122.02	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $724.44	Professional		$501.19	$524.81	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $977.24	Facility		$524.81	$524.81	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $724.44 / $1,513.56	Facility		$389.05	$724.44	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $741.31	Professional		$389.05	$575.44	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,513.56 / $2,041.74	Facility		$776.25	$1,513.56	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $630.96	Professional		$416.87	$446.68	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Facility		$630.96	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $630.96	Professional		$218.78	$218.78	$630.96