Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,208.08 / $3,208.08 / $3,208.08	Facility		$3,208.08	$3,208.08	$3,208.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.76 / $758.77 / $1,400.00	Professional		$758.76	$758.77	$1,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $906.54	Professional		$661.77	$661.77	$906.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.23 / $2,676.09 / $3,490.28	Professional		$925.23	$2,676.09	$3,490.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.88 / $1,086.25 / $1,321.76	Facility		$792.88	$1,086.25	$1,321.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $982.78 / $1,242.45 / $1,387.85	Professional		$982.78	$1,242.45	$1,387.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,049.19 / $1,263.33 / $1,389.66	Facility		$1,049.19	$1,263.33	$1,389.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,189.58 / $1,321.76 / $1,453.94	Professional		$1,189.58	$1,321.76	$1,453.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $792.88 / $1,135.21 / $1,387.85	Facility		$792.88	$1,135.21	$1,387.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $1,157.38 / $1,453.94	Professional		$661.77	$1,157.38	$1,453.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,101.22 / $2,198.04 / $4,637.16	Facility		$1,101.22	$2,198.04	$4,637.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,136.71 / $1,453.94 / $1,453.94	Professional		$1,136.71	$1,453.94	$1,453.94
United Facility/Professional Professional Modifier Low / Median / High Price $599.75 / $630.26 / $1,202.46	Professional		$599.75	$630.26	$1,202.46