Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,041.74	Professional		$831.76	$1,174.90	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $2,630.27	Professional		$1,995.26	$2,290.87	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $2,398.83	Facility		$1,000.00	$1,659.59	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $2,041.74	Professional		$851.14	$1,000.00	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $912.01	Facility		$831.76	$851.14	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,187.76	Facility		$1,000.00	$1,584.89	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $2,691.53	Professional		$79.43	$79.43	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $5,495.41	Facility		$3,388.44	$4,265.80	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,398.83	Professional		$1,584.89	$1,862.09	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $6,165.95	Facility		$3,801.89	$4,677.35	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $2,511.89	Professional		$1,071.52	$1,122.02	$2,511.89