Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,819.70	Professional		$851.14	$1,122.02	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $5,011.87	Professional		$1,659.59	$4,073.80	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,290.87	Facility		$1,318.26	$1,621.81	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $2,344.23	Professional		$1,584.89	$1,737.80	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,238.72	Facility		$1,698.24	$2,089.30	$2,238.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,238.72	Professional		$1,949.84	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $2,570.40	Facility		$1,071.52	$1,778.28	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $1,862.09 / $2,290.87	Professional		$87.10	$1,862.09	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $8,317.64	Facility		$1,819.70	$3,090.30	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,398.83	Professional		$2,187.76	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $4,073.80	Facility		$794.33	$1,258.93	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,778.28	Professional		$851.14	$933.25	$1,778.28