Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $7,943.28	Facility		$1,148.15	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,621.81	Professional		$524.81	$630.96	$1,621.81
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 $616.60 / $1,047.13 / $1,548.82	Professional		$616.60	$1,047.13	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,412.54	Professional		$891.25	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,380.38	Facility		$562.34	$870.96	$1,380.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,479.11	Professional		$851.14	$1,023.29	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,174.90	Facility		$870.96	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,258.93	Facility		$575.44	$851.14	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,071.52 / $1,548.82	Professional		$79.43	$1,071.52	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,621.81	Professional		$977.24	$1,174.90	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,548.82	Professional		$741.31	$1,096.48	$1,548.82