Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $7,943.28	Facility		$1,047.13	$5,754.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $2,511.89	Professional		$501.19	$660.69	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,445.44	Professional		$537.03	$933.25	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,258.93	Professional		$776.25	$1,047.13	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $4,677.35	Facility		$501.19	$776.25	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,380.38	Professional		$758.58	$954.99	$1,380.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,047.13	Facility		$851.14	$1,000.00	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,258.93	Facility		$524.81	$812.83	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,412.54	Professional		$79.43	$1,000.00	$1,412.54
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 $933.25 / $1,071.52 / $1,548.82	Professional		$933.25	$1,071.52	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $12,589.25	Facility		$1,096.48	$3,715.35	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,412.54	Professional		$691.83	$1,000.00	$1,412.54