Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,374.94 / $1,700.82	Professional		$638.59	$1,374.94	$1,700.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,062.07 / $3,284.17 / $4,004.02	Professional		$2,062.07	$3,284.17	$4,004.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.92 / $1,700.82 / $3,047.25	Facility		$1,096.92	$1,700.82	$3,047.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,549.66 / $1,958.97 / $2,165.17	Professional		$1,549.66	$1,958.97	$2,165.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,962.50 / $2,013.74 / $2,210.56	Facility		$1,962.50	$2,013.74	$2,210.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,171.15 / $1,785.86 / $3,047.25	Facility		$1,171.15	$1,785.86	$3,047.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $1,718.00 / $2,416.48	Professional		$742.34	$1,718.00	$2,416.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,962.71 / $2,268.28 / $2,268.28	Professional		$1,962.71	$2,268.28	$2,268.28
United Facility/Professional Professional Modifier Low / Median / High Price $734.21 / $771.56 / $1,472.03	Professional		$734.21	$771.56	$1,472.03