Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.80 / $811.00 / $1,184.03	Facility		$541.80	$811.00	$1,184.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.42 / $486.97 / $812.72	Professional		$308.42	$486.97	$812.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.28 / $1,043.00 / $1,496.44	Facility		$677.28	$1,043.00	$1,496.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $542.21 / $817.84	Professional		$279.22	$542.21	$817.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $914.76 / $1,096.20	Professional		$416.78	$914.76	$1,096.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $562.65 / $1,250.36	Facility		$312.58	$562.65	$1,250.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $458.46 / $572.91	Professional		$416.78	$458.46	$572.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $437.62 / $920.04	Facility		$416.78	$437.62	$920.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $529.30 / $1,208.66	Facility		$437.62	$529.30	$1,208.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $513.47 / $666.85	Professional		$458.46	$513.47	$666.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.72 / $1,286.38 / $1,721.88	Facility		$812.72	$1,286.38	$1,721.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.16 / $819.32 / $1,310.93	Professional		$736.16	$819.32	$1,310.93
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $175.05 / $437.62	Professional		$175.05	$175.05	$437.62