Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.11 / $1,629.94 / $1,890.73	Facility		$848.11	$1,629.94	$1,890.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $567.35 / $1,654.45	Professional		$500.00	$567.35	$1,654.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.92 / $2,118.92 / $3,788.64	Facility		$2,118.92	$2,118.92	$3,788.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $873.20 / $1,498.36	Professional		$380.19	$873.20	$1,498.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $3,179.65 / $3,430.69	Professional		$1,303.95	$3,179.65	$3,430.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.83 / $811.31 / $1,952.16	Facility		$432.83	$811.31	$1,952.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $649.89 / $1,303.95 / $1,760.33	Professional		$649.89	$1,303.95	$1,760.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,291.17 / $1,955.93	Facility		$584.90	$1,291.17	$1,955.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $813.01 / $1,825.53	Facility		$614.15	$813.01	$1,825.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.39 / $742.82 / $1,115.45	Professional		$643.39	$742.82	$1,115.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,140.56 / $1,805.25 / $2,416.46	Facility		$1,140.56	$1,805.25	$2,416.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,132.95 / $1,554.54	Professional		$701.88	$1,132.95	$1,554.54
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $701.88	Professional		$245.66	$245.66	$701.88