Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,495.41 / $13,182.57	Facility		$1,819.70	$5,495.41	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,511.89	Professional		$831.76	$977.24	$2,511.89
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 $933.25 / $1,621.81 / $2,511.89	Professional		$933.25	$1,621.81	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,187.76	Professional		$1,348.96	$1,778.28	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,454.71	Facility		$912.01	$1,412.54	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,344.23	Professional		$1,348.96	$1,621.81	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,862.09	Facility		$1,318.26	$1,778.28	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,137.96	Facility		$912.01	$1,412.54	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,737.80 / $2,454.71	Professional		$79.43	$1,737.80	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,754.23	Professional		$1,621.81	$1,862.09	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,511.89	Professional		$1,174.90	$1,737.80	$2,511.89