Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.07 / $799.29 / $4,905.12	Professional		$545.07	$799.29	$4,905.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.34 / $1,057.34 / $1,057.34	Facility		$1,057.34	$1,057.34	$1,057.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $771.87 / $1,057.34	Professional		$771.87	$771.87	$1,057.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.72 / $2,700.96 / $3,522.71	Professional		$932.72	$2,700.96	$3,522.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.29 / $1,095.03 / $1,332.46	Facility		$799.29	$1,095.03	$1,332.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $990.73 / $1,252.51 / $1,399.08	Professional		$990.73	$1,252.51	$1,399.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,057.66 / $1,277.19 / $1,404.91	Facility		$1,057.66	$1,277.19	$1,404.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,199.21 / $1,332.46 / $1,404.91	Professional		$1,199.21	$1,332.46	$1,404.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.29 / $1,144.02 / $1,399.08	Facility		$799.29	$1,144.02	$1,399.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $771.87 / $1,166.75 / $1,465.71	Professional		$771.87	$1,166.75	$1,465.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,110.13 / $2,215.82 / $4,674.70	Facility		$1,110.13	$2,215.82	$4,674.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,145.92 / $1,465.71 / $1,465.71	Professional		$1,145.92	$1,465.71	$1,465.71
United Facility/Professional Professional Modifier Low / Median / High Price $605.32 / $636.11 / $1,219.22	Professional		$605.32	$636.11	$1,219.22