Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.28 / $1,597.28 / $2,787.18	Facility		$1,597.28	$1,597.28	$2,787.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.33 / $621.51 / $621.51	Professional		$461.33	$621.51	$621.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,041.18 / $1,603.41 / $1,861.62	Facility		$1,041.18	$1,603.41	$1,861.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.53 / $668.63 / $835.78	Professional		$640.53	$668.63	$835.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $1,562.61 / $1,685.97	Professional		$640.73	$1,562.61	$1,685.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $640.73 / $1,336.25	Facility		$384.44	$640.73	$1,336.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $640.73 / $864.99	Professional		$640.73	$640.73	$864.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.73 / $724.02 / $1,121.28	Facility		$640.73	$724.02	$1,121.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $640.73 / $1,336.25	Facility		$384.44	$640.73	$1,336.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.69 / $704.80 / $897.02	Professional		$608.69	$704.80	$897.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,726.06 / $2,074.67 / $2,515.31	Facility		$1,726.06	$2,074.67	$2,515.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $573.83 / $765.10 / $1,579.46	Professional		$573.83	$765.10	$1,579.46
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $269.11 / $768.88	Professional		$269.11	$269.11	$768.88