Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $812.83	Professional		$446.68	$524.81	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,995.26	Facility		$1,096.48	$1,096.48	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $1,778.28	Professional		$676.08	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $954.99	Professional		$575.44	$758.58	$954.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $1,071.52	Facility		$616.60	$758.58	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $1,778.28	Facility		$512.86	$954.99	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $758.58 / $954.99	Professional		$79.43	$758.58	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,691.53	Facility		$1,202.26	$2,041.74	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $812.83	Professional		$549.54	$575.44	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Facility		$812.83	$812.83	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $812.83	Professional		$288.40	$288.40	$812.83