Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $7,943.28	Facility		$1,412.54	$2,344.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,570.40	Professional		$870.96	$1,071.52	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,659.59 / $2,454.71	Professional		$660.69	$1,659.59	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,238.72	Professional		$1,348.96	$1,862.09	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,238.72	Facility		$933.25	$1,318.26	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,344.23	Professional		$1,348.96	$1,698.24	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $1,905.46	Facility		$1,348.96	$1,778.28	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,187.76	Facility		$891.25	$1,318.26	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,570.40	Professional		$79.43	$1,862.09	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,548.13	Facility		$2,238.72	$2,884.03	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,570.40	Professional		$1,698.24	$1,995.26	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $7,244.36	Facility		$1,548.82	$4,466.84	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,630.27	Professional		$1,071.52	$1,819.70	$2,630.27