Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,897.79 / $4,897.79	Facility		$1,071.52	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,137.96	Professional		$724.44	$1,023.29	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $2,630.27	Facility		$53.70	$87.10	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $549.54 / $1,949.84	Professional		$33.11	$549.54	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $3,388.44	Professional		$1,348.96	$2,884.03	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,511.89	Facility		$870.96	$1,230.27	$2,511.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,995.26	Professional		$794.33	$933.25	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $2,238.72	Facility		$776.25	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,071.52 / $2,511.89	Facility		$83.18	$1,071.52	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,288.25 / $2,884.03	Professional		$79.43	$1,288.25	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Facility		$407.38	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,905.46 / $2,691.53	Professional		$912.01	$1,905.46	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $426.58 / $1,174.90	Professional		$389.05	$426.58	$1,174.90