Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.28 / $1,502.28 / $1,755.32	Facility		$1,502.28	$1,502.28	$1,755.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $750.47 / $1,755.32	Professional		$519.16	$750.47	$1,755.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.58 / $791.58 / $791.58	Facility		$791.58	$791.58	$791.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.78 / $1,305.39 / $1,937.21	Professional		$641.78	$1,305.39	$1,937.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,278.58 / $1,667.10 / $1,930.06	Professional		$1,278.58	$1,667.10	$1,930.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $519.12 / $868.92 / $1,424.91	Facility		$519.12	$868.92	$1,424.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $766.76 / $1,135.74 / $2,035.26	Professional		$766.76	$1,135.74	$2,035.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.79 / $1,104.83 / $1,407.67	Facility		$685.79	$1,104.83	$1,407.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $529.24 / $907.71 / $1,684.93	Facility		$529.24	$907.71	$1,684.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.08 / $1,338.86 / $1,780.60	Professional		$802.08	$1,338.86	$1,780.60
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 $1,027.03 / $1,334.33 / $1,896.90	Professional		$1,027.03	$1,334.33	$1,896.90
United Facility/Professional Professional Modifier Low / Median / High Price $890.47 / $1,154.31 / $1,919.93	Professional		$890.47	$1,154.31	$1,919.93