Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $1,819.70	Facility		$954.99	$1,479.11	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,698.24	Professional		$645.65	$870.96	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,513.56 / $2,454.71	Professional		$758.58	$1,513.56	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,548.82 / $1,862.09	Professional		$741.31	$1,548.82	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,288.25 / $2,137.96	Facility		$389.05	$1,288.25	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,137.96	Professional		$831.76	$1,380.38	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,659.59	Facility		$1,122.02	$1,348.96	$1,659.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $676.08	Professional		$398.11	$398.11	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,348.96 / $2,511.89	Facility		$389.05	$1,348.96	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,137.96	Professional		$1,047.13	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,398.83	Facility		$1,513.56	$1,862.09	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,949.84	Professional		$1,288.25	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,754.23	Facility		$1,659.59	$2,089.30	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,258.93 / $2,187.76	Professional		$588.84	$1,258.93	$2,187.76