Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.84 / $991.43 / $4,887.08	Professional		$707.84	$991.43	$4,887.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.60 / $1,018.60 / $1,018.60	Facility		$1,018.60	$1,018.60	$1,018.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $743.58 / $1,018.60	Professional		$743.58	$743.58	$1,018.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.08 / $3,453.07 / $4,503.66	Professional		$1,141.08	$3,453.07	$4,503.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.43 / $1,389.54 / $1,630.12	Facility		$991.43	$1,389.54	$1,630.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.06 / $1,532.31 / $1,711.63	Professional		$1,212.06	$1,532.31	$1,711.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,293.95 / $1,630.12 / $2,140.48	Facility		$1,293.95	$1,630.12	$2,140.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,467.11 / $1,630.12 / $2,140.48	Professional		$1,467.11	$1,630.12	$2,140.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.43 / $1,427.39 / $1,711.63	Facility		$991.43	$1,427.39	$1,711.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.58 / $1,427.39 / $1,793.13	Professional		$743.58	$1,427.39	$1,793.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,358.13 / $2,710.84 / $5,718.98	Facility		$1,358.13	$2,710.84	$5,718.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,401.90 / $1,793.13 / $1,793.13	Professional		$1,401.90	$1,793.13	$1,793.13
United Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $813.25 / $1,558.73	Professional		$776.99	$813.25	$1,558.73