Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.63 / $980.93 / $1,894.20	Facility		$845.63	$980.93	$1,894.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.05 / $668.50 / $1,014.75	Professional		$509.05	$668.50	$1,014.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,099.33 / $1,692.96 / $2,056.21	Facility		$1,099.33	$1,692.96	$2,056.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.36 / $746.03 / $1,213.69	Professional		$593.36	$746.03	$1,213.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $1,485.07 / $1,779.59	Professional		$676.50	$1,485.07	$1,779.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.38 / $710.33 / $1,488.30	Facility		$507.38	$710.33	$1,488.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $913.28	Professional		$676.50	$676.50	$913.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $710.33 / $1,493.37	Facility		$676.50	$710.33	$1,493.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.33 / $855.77 / $1,911.49	Facility		$710.33	$855.77	$1,911.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $744.15 / $779.34 / $1,014.75	Professional		$744.15	$779.34	$1,014.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,319.18 / $2,058.59 / $2,794.89	Facility		$1,319.18	$2,058.59	$2,794.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,194.60 / $1,330.38 / $2,127.34	Professional		$1,194.60	$1,330.38	$2,127.34
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $327.32 / $710.33	Professional		$284.13	$327.32	$710.33