Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.79 / $1,287.89 / $6,862.86	Professional		$837.79	$1,287.89	$6,862.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,226.77	Professional		$895.54	$895.54	$1,226.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.29 / $4,095.82 / $5,341.96	Professional		$1,482.29	$4,095.82	$5,341.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,287.89 / $1,764.41 / $2,117.56	Facility		$1,287.89	$1,764.41	$2,117.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.48 / $1,990.51 / $2,223.44	Professional		$1,574.48	$1,990.51	$2,223.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.86 / $2,117.56 / $2,578.40	Facility		$1,680.86	$2,117.56	$2,578.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,117.56 / $2,578.40	Professional		$1,905.80	$2,117.56	$2,578.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,162.60 / $1,818.70 / $2,223.44	Facility		$1,162.60	$1,818.70	$2,223.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $1,854.21 / $2,329.32	Professional		$895.54	$1,854.21	$2,329.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,764.23 / $3,521.42 / $7,429.08	Facility		$1,764.23	$3,521.42	$7,429.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,821.10 / $2,329.32 / $2,329.32	Professional		$1,821.10	$2,329.32	$2,329.32
United Facility/Professional Professional Modifier Low / Median / High Price $921.74 / $964.75 / $1,840.62	Professional		$921.74	$964.75	$1,840.62