Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,943.28 / $7,943.28	Facility		$2,630.27	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,778.28 / $2,511.89	Professional		$660.69	$1,778.28	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,897.79	Professional		$2,884.03	$3,801.89	$4,897.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,454.71 / $3,715.35	Facility		$549.54	$2,454.71	$3,715.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,238.72 / $6,918.31	Professional		$691.83	$2,238.72	$6,918.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,348.96 / $5,754.40	Facility		$239.88	$1,348.96	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,454.71 / $3,630.78	Facility		$549.54	$2,454.71	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $588.84 / $3,019.95	Professional		$79.43	$588.84	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $5,623.41	Professional		$2,344.23	$4,073.80	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $5,370.32	Professional		$1,071.52	$3,715.35	$5,370.32