Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.49 / $1,243.08 / $5,897.13	Professional		$885.49	$1,243.08	$5,897.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,367.82 / $1,367.82 / $1,367.82	Facility		$1,367.82	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,367.82	Professional		$998.51	$998.51	$1,367.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.72 / $4,329.47 / $5,646.71	Professional		$1,430.72	$4,329.47	$5,646.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,243.08 / $1,703.03 / $2,043.89	Facility		$1,243.08	$1,703.03	$2,043.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.72 / $1,921.26 / $2,146.08	Professional		$1,519.72	$1,921.26	$2,146.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,839.50 / $2,043.89 / $2,486.65	Facility		$1,839.50	$2,043.89	$2,486.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,043.89 / $2,043.89 / $2,043.89	Professional		$2,043.89	$2,043.89	$2,043.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,243.08 / $1,777.62 / $2,146.08	Facility		$1,243.08	$1,777.62	$2,146.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,789.70 / $2,248.28	Professional		$998.51	$1,789.70	$2,248.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,702.86 / $3,398.92 / $7,170.61	Facility		$1,702.86	$3,398.92	$7,170.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,757.75 / $2,248.28 / $2,248.28	Professional		$1,757.75	$2,248.28	$2,248.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.44 / $1,347.44 / $1,347.44	Facility		$1,347.44	$1,347.44	$1,347.44
United Facility/Professional Professional Modifier Low / Median / High Price $974.21 / $1,019.68 / $1,945.41	Professional		$974.21	$1,019.68	$1,945.41