Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.09 / $1,162.09 / $2,027.84	Facility		$1,162.09	$1,162.09	$2,027.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $396.24 / $452.18	Professional		$335.64	$396.24	$452.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.53 / $757.53 / $1,354.45	Facility		$757.53	$757.53	$1,354.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $1,023.43 / $1,226.39	Professional		$466.17	$1,023.43	$1,226.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $452.18 / $1,025.57	Facility		$349.63	$452.18	$1,025.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $629.33	Professional		$466.17	$466.17	$629.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $489.48 / $652.64	Facility		$466.17	$489.48	$652.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $617.67 / $1,178.59	Facility		$452.18	$617.67	$1,178.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $512.79 / $662.19	Professional		$512.79	$512.79	$662.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $909.03 / $1,418.56 / $1,830.04	Facility		$909.03	$1,418.56	$1,830.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $745.10 / $877.89 / $1,466.54	Professional		$745.10	$877.89	$1,466.54
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $195.79 / $466.17	Professional		$195.79	$195.79	$466.17