Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.12 / $930.39 / $4,475.02	Professional		$682.12	$930.39	$4,475.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.70 / $3,007.06 / $3,921.94	Professional		$1,085.70	$3,007.06	$3,921.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $930.39 / $1,274.63 / $1,551.00	Facility		$930.39	$1,274.63	$1,551.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.23 / $1,457.94 / $1,628.55	Professional		$1,153.23	$1,457.94	$1,628.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,231.15 / $1,551.00 / $1,706.10	Facility		$1,231.15	$1,551.00	$1,706.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,231.15 / $1,551.00 / $1,606.56	Professional		$1,231.15	$1,551.00	$1,606.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.39 / $1,332.11 / $1,628.55	Facility		$930.39	$1,332.11	$1,628.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $1,358.11 / $1,706.10	Professional		$814.12	$1,358.11	$1,706.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.21 / $2,579.26 / $5,441.40	Facility		$1,292.21	$2,579.26	$5,441.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,333.86 / $1,706.10 / $1,706.10	Professional		$1,333.86	$1,706.10	$1,706.10
United Facility/Professional Professional Modifier Low / Median / High Price $666.65 / $708.22 / $1,386.32	Professional		$666.65	$708.22	$1,386.32