Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,698.24	Professional		$870.96	$1,122.02	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,073.80 / $5,011.87	Professional		$1,445.44	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,137.96	Facility		$1,174.90	$1,445.44	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $2,089.30	Professional		$1,412.54	$1,548.82	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,344.23	Facility		$1,513.56	$1,862.09	$2,344.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $2,344.23	Professional		$1,819.70	$1,905.46	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,454.71	Facility		$1,000.00	$1,621.81	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,659.59 / $1,995.26	Professional		$87.10	$1,659.59	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $7,244.36	Facility		$1,584.89	$2,691.53	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,137.96	Professional		$1,949.84	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $4,073.80	Facility		$933.25	$1,318.26	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,778.28	Professional		$851.14	$933.25	$1,778.28