Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,479.11 / $2,691.53	Facility		$575.44	$1,479.11	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $758.58	Professional		$389.05	$467.74	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,737.80	Facility		$977.24	$1,548.82	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,288.25 / $1,584.89	Professional		$602.56	$1,288.25	$1,584.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Facility		$602.56	$602.56	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $831.76	Professional		$512.86	$660.69	$831.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $1,047.13	Facility		$537.03	$660.69	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $831.76 / $1,584.89	Facility		$446.68	$831.76	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $660.69 / $831.76	Professional		$79.43	$660.69	$831.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,344.23	Facility		$891.25	$1,737.80	$2,344.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $724.44	Professional		$478.63	$512.86	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $954.99	Facility		$724.44	$724.44	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $724.44	Professional		$251.19	$251.19	$724.44