Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $13,803.84	Facility		$1,778.28	$2,344.23	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $2,238.72	Professional		$691.83	$891.25	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,511.89	Professional		$954.99	$1,621.81	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $1,949.84	Professional		$851.14	$1,698.24	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,691.53	Facility		$831.76	$1,318.26	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,344.23	Professional		$1,348.96	$1,548.82	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $1,819.70	Facility		$1,230.27	$1,659.59	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,089.30	Facility		$870.96	$1,288.25	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,398.83	Professional		$79.43	$1,621.81	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,691.53	Professional		$1,318.26	$1,862.09	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $2,398.83	Professional		$933.25	$1,659.59	$2,398.83