Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.76 / $880.79 / $4,236.45	Professional		$645.76	$880.79	$4,236.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Facility		$1,038.85	$1,038.85	$1,038.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $758.37 / $1,038.85	Professional		$758.37	$758.37	$1,038.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,027.82 / $2,846.55 / $3,712.60	Professional		$1,027.82	$2,846.55	$3,712.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $880.79 / $1,206.68 / $1,468.32	Facility		$880.79	$1,206.68	$1,468.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,091.76 / $1,380.22 / $1,541.74	Professional		$1,091.76	$1,380.22	$1,541.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,165.53 / $1,468.32 / $1,615.15	Facility		$1,165.53	$1,468.32	$1,615.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,248.07 / $1,468.32 / $1,672.98	Professional		$1,248.07	$1,468.32	$1,672.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $880.79 / $1,259.53 / $1,541.74	Facility		$880.79	$1,259.53	$1,541.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,285.71 / $1,615.15	Professional		$758.37	$1,285.71	$1,615.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,223.32 / $2,441.76 / $5,151.33	Facility		$1,223.32	$2,441.76	$5,151.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,262.76 / $1,615.15 / $1,615.15	Professional		$1,262.76	$1,615.15	$1,615.15
United Facility/Professional Professional Modifier Low / Median / High Price $631.10 / $670.46 / $1,279.15	Professional		$631.10	$670.46	$1,279.15