Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.73 / $1,097.88 / $5,280.61	Professional		$676.73	$1,097.88	$5,280.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $857.71 / $857.71	Facility		$857.71	$857.71	$857.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $626.13 / $857.71	Professional		$626.13	$626.13	$857.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,281.15 / $2,907.63 / $3,792.28	Professional		$1,281.15	$2,907.63	$3,792.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $998.67 / $1,375.42 / $1,830.22	Facility		$998.67	$1,375.42	$1,830.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,360.84 / $1,697.95 / $1,830.22	Professional		$1,360.84	$1,697.95	$1,830.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,340.49 / $1,555.69 / $1,830.22	Facility		$1,340.49	$1,555.69	$1,830.22
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,372.66 / $1,647.20 / $1,830.22	Professional		$1,372.66	$1,647.20	$1,830.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.71 / $1,504.10 / $1,921.73	Facility		$857.71	$1,504.10	$1,921.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $626.13 / $1,602.60 / $2,013.24	Professional		$626.13	$1,602.60	$2,013.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,524.83 / $3,043.58 / $6,420.98	Facility		$1,524.83	$3,043.58	$6,420.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,573.99 / $2,013.24 / $2,013.24	Professional		$1,573.99	$2,013.24	$2,013.24
United Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $684.80 / $1,306.52	Professional		$651.66	$684.80	$1,306.52