Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.04 / $1,236.13 / $5,864.13	Professional		$907.04	$1,236.13	$5,864.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.68 / $1,162.68 / $1,162.68	Facility		$1,162.68	$1,162.68	$1,162.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $988.28 / $1,162.68	Professional		$988.28	$988.28	$1,162.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.72 / $3,940.99 / $5,140.03	Professional		$1,422.72	$3,940.99	$5,140.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,693.50 / $2,032.46	Facility		$599.29	$1,693.50	$2,032.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.21 / $1,910.51 / $2,134.08	Professional		$1,511.21	$1,910.51	$2,134.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,829.21 / $2,032.46 / $2,320.36	Facility		$1,829.21	$2,032.46	$2,320.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $1,669.11 / $2,032.46	Facility		$599.29	$1,669.11	$2,032.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $988.28 / $1,779.69 / $2,235.71	Professional		$988.28	$1,779.69	$2,235.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,693.33 / $3,379.90 / $7,130.51	Facility		$1,693.33	$3,379.90	$7,130.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,768.24 / $2,235.71 / $2,235.71	Professional		$1,768.24	$2,235.71	$2,235.71
United Facility/Professional Professional Modifier Low / Median / High Price $886.90 / $928.29 / $1,771.05	Professional		$886.90	$928.29	$1,771.05