Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,847.05 / $2,847.05 / $4,967.96	Facility		$2,847.05	$2,847.05	$4,967.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.28 / $970.75 / $1,107.80	Professional		$822.28	$970.75	$1,107.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,855.85 / $1,855.85 / $3,318.26	Facility		$1,855.85	$1,855.85	$3,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $2,507.76 / $3,005.15	Professional		$1,142.06	$2,507.76	$3,005.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $856.55 / $1,199.16 / $2,512.53	Facility		$856.55	$1,199.16	$2,512.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.06 / $1,142.06 / $1,541.78	Professional		$1,142.06	$1,142.06	$1,541.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,142.06 / $1,142.06 / $1,598.88	Facility		$1,142.06	$1,142.06	$1,598.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.96 / $1,370.47 / $3,140.72	Facility		$1,084.96	$1,370.47	$3,140.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,256.27 / $1,256.27 / $1,598.88	Professional		$1,256.27	$1,256.27	$1,598.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,998.61 / $3,997.21 / $4,483.60	Facility		$1,998.61	$3,997.21	$4,483.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,370.47 / $2,815.14 / $3,599.12	Professional		$1,370.47	$2,815.14	$3,599.12
United Facility/Professional Professional Modifier Low / Median / High Price $479.67 / $479.67 / $1,199.16	Professional		$479.67	$479.67	$1,199.16