Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,380.75 / $2,090.30	Facility		$1,044.14	$1,380.75	$2,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,055.59 / $3,312.23	Professional		$1,045.15	$1,055.59	$3,312.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.99 / $1,453.55 / $2,087.10	Facility		$985.99	$1,453.55	$2,087.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,133.89	Professional		$1,045.15	$1,045.15	$1,133.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.53 / $2,292.58 / $2,703.01	Professional		$1,029.53	$2,292.58	$2,703.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,494.56 / $2,247.07	Facility		$1,045.15	$1,494.56	$2,247.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,107.85 / $1,358.70	Professional		$1,045.15	$1,107.85	$1,358.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,044.14 / $1,305.18 / $2,173.91	Facility		$1,044.14	$1,305.18	$2,173.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,453.55 / $2,247.07	Facility		$1,045.15	$1,453.55	$2,247.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,245.74 / $1,391.89	Professional		$1,045.15	$1,245.74	$1,391.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.41 / $1,886.00 / $4,005.73	Facility		$1,121.41	$1,886.00	$4,005.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,254.18	Professional		$1,045.15	$1,045.15	$1,254.18