Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.11 / $1,364.12 / $6,561.18	Professional		$1,000.11	$1,364.12	$6,561.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,300.55 / $1,300.55	Facility		$1,300.55	$1,300.55	$1,300.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $949.40 / $1,300.55	Professional		$949.40	$949.40	$1,300.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.84 / $4,408.31 / $5,749.55	Professional		$1,591.84	$4,408.31	$5,749.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,364.12 / $1,868.84 / $2,274.06	Facility		$1,364.12	$1,868.84	$2,274.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.84 / $2,137.62 / $2,387.76	Professional		$1,690.84	$2,137.62	$2,387.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,805.08 / $2,274.06 / $2,501.46	Facility		$1,805.08	$2,274.06	$2,501.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,805.08 / $2,274.06 / $2,501.46	Professional		$1,805.08	$2,274.06	$2,501.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,300.55 / $1,950.69 / $2,387.76	Facility		$1,300.55	$1,950.69	$2,387.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.40 / $1,991.24 / $2,501.46	Professional		$949.40	$1,991.24	$2,501.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,894.61 / $3,781.66 / $7,978.10	Facility		$1,894.61	$3,781.66	$7,978.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,955.69 / $2,501.46 / $2,501.46	Professional		$1,955.69	$2,501.46	$2,501.46
United Facility/Professional Professional Modifier Low / Median / High Price $988.10 / $1,038.36 / $1,981.07	Professional		$988.10	$1,038.36	$1,981.07