Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $13,182.57	Facility		$1,412.54	$1,819.70	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,778.28	Professional		$616.60	$724.44	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,949.84	Professional		$707.95	$1,230.27	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,698.24	Professional		$1,047.13	$1,380.38	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,737.80	Facility		$616.60	$977.24	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,288.25 / $1,819.70	Professional		$707.95	$1,288.25	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,412.54	Facility		$912.01	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,513.56	Facility		$588.84	$977.24	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,862.09	Professional		$79.43	$1,348.96	$1,862.09
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 $954.99 / $1,445.44 / $2,089.30	Professional		$954.99	$1,445.44	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $12,589.25	Facility		$1,698.24	$5,754.40	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,905.46	Professional		$870.96	$1,348.96	$1,905.46