Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.79 / $3,540.81 / $5,414.05	Facility		$1,545.79	$3,540.81	$5,414.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.46 / $1,157.01 / $2,452.13	Professional		$938.46	$1,157.01	$2,452.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.34 / $1,095.34 / $1,095.34	Facility		$1,095.34	$1,095.34	$1,095.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.28 / $2,025.84 / $2,736.38	Professional		$1,255.28	$2,025.84	$2,736.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,757.70 / $2,291.80 / $2,668.31	Professional		$1,757.70	$2,291.80	$2,668.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $937.43 / $1,364.60 / $2,532.60	Facility		$937.43	$1,364.60	$2,532.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $1,807.30 / $2,887.20	Professional		$1,539.00	$1,807.30	$2,887.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,362.41 / $1,804.69 / $1,968.46	Facility		$1,362.41	$1,804.69	$1,968.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $940.89 / $1,593.01 / $2,532.60	Facility		$940.89	$1,593.01	$2,532.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,279.48 / $2,032.80 / $2,612.80	Professional		$1,279.48	$2,032.80	$2,612.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,548.90 / $3,192.87 / $4,140.82	Facility		$2,548.90	$3,192.87	$4,140.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,533.60 / $1,892.86 / $2,690.90	Professional		$1,533.60	$1,892.86	$2,690.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,376.46 / $2,084.31 / $2,993.37	Professional		$1,376.46	$2,084.31	$2,993.37