Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $4,073.80	Facility		$1,122.02	$1,380.38	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,479.11	Professional		$436.52	$724.44	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,630.27	Facility		$1,445.44	$1,445.44	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,000.00 / $1,621.81	Professional		$275.42	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,905.46 / $2,344.23	Professional		$891.25	$1,905.46	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Facility		$891.25	$891.25	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,258.93	Professional		$891.25	$1,023.29	$1,258.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Facility		$891.25	$891.25	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $2,344.23	Facility		$660.69	$1,230.27	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $1,000.00 / $1,288.25	Professional		$275.42	$1,000.00	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $3,548.13	Facility		$1,348.96	$2,630.27	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,071.52	Professional		$676.08	$812.83	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,445.44	Facility		$1,071.52	$1,071.52	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,071.52	Professional		$380.19	$380.19	$1,071.52