Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.75 / $513.41 / $2,771.38	Professional		$362.75	$513.41	$2,771.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $454.00	Professional		$331.42	$331.42	$454.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.12 / $1,539.05 / $2,007.30	Professional		$599.12	$1,539.05	$2,007.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $703.37 / $855.88	Facility		$513.41	$703.37	$855.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $636.38 / $813.09 / $855.88	Professional		$636.38	$813.09	$855.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.38 / $770.29 / $855.88	Facility		$679.38	$770.29	$855.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $726.55 / $855.88 / $941.47	Professional		$726.55	$855.88	$941.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $734.18 / $898.67	Facility		$454.00	$734.18	$898.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $749.44 / $941.47	Professional		$331.42	$749.44	$941.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $713.07 / $1,423.30 / $3,002.71	Facility		$713.07	$1,423.30	$3,002.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.06 / $941.47 / $941.47	Professional		$736.06	$941.47	$941.47
United Facility/Professional Professional Modifier Low / Median / High Price $341.19 / $362.47 / $694.74	Professional		$341.19	$362.47	$694.74