Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.10 / $1,651.10 / $2,881.09	Facility		$1,651.10	$1,651.10	$2,881.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.87 / $562.97 / $642.45	Professional		$476.87	$562.97	$642.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,076.28 / $1,076.28 / $1,924.38	Facility		$1,076.28	$1,076.28	$1,924.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $1,454.52 / $1,743.00	Professional		$662.32	$1,454.52	$1,743.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $695.44 / $1,457.10	Facility		$496.74	$695.44	$1,457.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $662.32 / $894.13	Professional		$662.32	$662.32	$894.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $662.32 / $993.48	Facility		$662.32	$662.32	$993.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $629.20 / $794.78 / $1,821.85	Facility		$629.20	$794.78	$1,821.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $728.55 / $728.55 / $927.25	Professional		$728.55	$728.55	$927.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,159.06 / $2,318.12 / $2,600.19	Facility		$1,159.06	$2,318.12	$2,600.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.78 / $1,632.79 / $2,087.51	Professional		$794.78	$1,632.79	$2,087.51
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $278.17 / $695.44	Professional		$278.17	$278.17	$695.44