Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,445.44	Professional		$724.44	$954.99	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,467.37 / $4,265.80	Professional		$1,445.44	$3,467.37	$4,265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,995.26	Facility		$1,122.02	$1,412.54	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $2,041.74	Professional		$1,380.38	$1,513.56	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $1,995.26	Facility		$1,479.11	$1,819.70	$1,995.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $1,995.26	Professional		$1,698.24	$1,862.09	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,238.72	Facility		$933.25	$1,548.82	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,659.59 / $1,949.84	Professional		$87.10	$1,659.59	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $7,244.36	Facility		$1,548.82	$2,630.27	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,089.30	Professional		$1,905.46	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $3,467.37	Facility		$794.33	$2,630.27	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,513.56	Professional		$724.44	$794.33	$1,513.56