Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.92 / $1,315.92 / $2,296.23	Facility		$1,315.92	$1,315.92	$2,296.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.07 / $448.69 / $512.03	Professional		$380.07	$448.69	$512.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.80 / $857.80 / $1,533.75	Facility		$857.80	$857.80	$1,533.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $1,159.06 / $1,388.96	Professional		$527.87	$1,159.06	$1,388.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $395.90 / $512.03 / $1,161.31	Facility		$395.90	$512.03	$1,161.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $712.62	Professional		$527.87	$527.87	$712.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $554.26 / $739.02	Facility		$527.87	$554.26	$739.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $475.08 / $633.44 / $1,345.43	Facility		$475.08	$633.44	$1,345.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $580.66 / $739.02	Professional		$580.66	$580.66	$739.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,055.74 / $1,709.24 / $2,072.26	Facility		$1,055.74	$1,709.24	$2,072.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $843.66 / $1,037.76 / $1,660.52	Professional		$843.66	$1,037.76	$1,660.52
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $221.71 / $633.44	Professional		$221.71	$221.71	$633.44