Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $3,090.30	Facility		$1,288.25	$1,318.26	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,513.56	Professional		$1,258.93	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,318.26	Facility		$707.95	$707.95	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $446.68	Professional		$288.40	$380.19	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $630.96 / $1,862.09	Facility		$245.47	$630.96	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $478.63 / $1,318.26	Professional		$181.97	$478.63	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $524.81 / $691.83	Facility		$338.84	$524.81	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $524.81 / $1,548.82	Facility		$223.87	$524.81	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $1,318.26	Professional		$79.43	$446.68	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $588.84 / $1,202.26	Facility		$346.74	$588.84	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,445.44	Professional		$1,288.25	$1,288.25	$1,445.44