Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $13,182.57	Facility		$1,230.27	$1,995.26	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,995.26	Professional		$630.96	$812.83	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,290.87	Professional		$891.25	$1,445.44	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,187.76	Professional		$977.24	$1,584.89	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,187.76	Facility		$707.95	$1,230.27	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,137.96	Professional		$1,202.26	$1,548.82	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $1,778.28	Facility		$1,230.27	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,905.46	Facility		$776.25	$1,230.27	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,548.82 / $2,238.72	Professional		$79.43	$1,548.82	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,220.18 / $13,489.63	Facility		$8,317.64	$11,220.18	$13,489.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,511.89	Professional		$1,412.54	$1,819.70	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,238.72	Professional		$954.99	$1,479.11	$2,238.72