Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.97 / $983.44 / $2,127.14	Professional		$751.97	$983.44	$2,127.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.18 / $1,573.76 / $2,548.27	Professional		$840.18	$1,573.76	$2,548.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,607.19 / $2,074.73 / $2,509.85	Professional		$1,607.19	$2,074.73	$2,509.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.22 / $1,439.34 / $2,108.17	Facility		$945.22	$1,439.34	$2,108.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.74 / $1,563.11 / $2,464.96	Professional		$1,277.74	$1,563.11	$2,464.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,128.47 / $1,637.90 / $1,995.26	Facility		$1,128.47	$1,637.90	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $943.79 / $1,526.32 / $2,547.69	Facility		$943.79	$1,526.32	$2,547.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,375.88 / $1,929.85 / $2,548.27	Professional		$1,375.88	$1,929.85	$2,548.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,431.98 / $1,978.84 / $2,721.71	Professional		$1,431.98	$1,978.84	$2,721.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.23 / $1,522.62 / $2,563.73	Professional		$1,061.23	$1,522.62	$2,563.73