Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.88 / $1,172.45 / $6,678.71	Professional		$784.88	$1,172.45	$6,678.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,349.13	Professional		$984.86	$984.86	$1,349.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,349.43 / $3,837.29 / $5,004.79	Professional		$1,349.43	$3,837.29	$5,004.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,172.45 / $1,606.26 / $1,927.75	Facility		$1,172.45	$1,606.26	$1,927.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.34 / $1,812.09 / $2,024.14	Professional		$1,433.34	$1,812.09	$2,024.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,734.98 / $1,882.57 / $2,120.53	Facility		$1,734.98	$1,882.57	$2,120.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,927.75 / $1,927.75 / $1,927.75	Professional		$1,927.75	$1,927.75	$1,927.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.45 / $1,655.65 / $2,024.14	Facility		$1,172.45	$1,655.65	$2,024.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $1,688.00 / $2,120.53	Professional		$984.86	$1,688.00	$2,120.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,606.09 / $3,205.76 / $6,763.14	Facility		$1,606.09	$3,205.76	$6,763.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,657.87 / $2,120.53 / $2,120.53	Professional		$1,657.87	$2,120.53	$2,120.53
United Facility/Professional Professional Modifier Low / Median / High Price $863.53 / $903.82 / $1,724.37	Professional		$863.53	$903.82	$1,724.37