Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,905.46	Professional		$933.25	$1,202.26	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,265.80 / $5,370.32	Professional		$1,548.82	$4,265.80	$5,370.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,238.72	Facility		$1,202.26	$1,513.56	$2,238.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $2,187.76	Professional		$1,479.11	$1,584.89	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,398.83	Facility		$1,584.89	$1,949.84	$2,398.83
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,398.83	Professional		$1,819.70	$1,995.26	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,511.89	Facility		$1,122.02	$1,698.24	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,737.80 / $2,089.30	Professional		$87.10	$1,737.80	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $7,762.47	Facility		$1,659.59	$2,818.38	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,238.72	Professional		$2,041.74	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,235.94 / $4,365.16	Facility		$1,000.00	$3,235.94	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,905.46	Professional		$912.01	$1,000.00	$1,905.46