Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.47 / $1,502.47 / $2,621.75	Facility		$1,502.47	$1,502.47	$2,621.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.94 / $512.29 / $584.62	Professional		$433.94	$512.29	$584.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $979.40 / $979.40 / $1,751.17	Facility		$979.40	$979.40	$1,751.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $1,323.13 / $1,585.54	Professional		$602.70	$1,323.13	$1,585.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.03 / $584.62 / $1,325.94	Facility		$452.03	$584.62	$1,325.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.70 / $602.70 / $813.65	Professional		$602.70	$602.70	$813.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $632.84 / $843.78	Facility		$602.70	$632.84	$843.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.42 / $723.24 / $1,537.16	Facility		$542.42	$723.24	$1,537.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.97 / $662.97 / $843.78	Professional		$662.97	$662.97	$843.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,205.40 / $1,951.54 / $2,366.02	Facility		$1,205.40	$1,951.54	$2,366.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $963.33 / $1,185.43 / $1,896.06	Professional		$963.33	$1,185.43	$1,896.06
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $632.84	Professional		$253.13	$253.13	$632.84