Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $7,943.28	Facility		$1,513.56	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,137.96	Professional		$691.83	$851.14	$2,137.96
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 $812.83 / $1,380.38 / $2,089.30	Professional		$812.83	$1,380.38	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $1,862.09	Professional		$1,174.90	$1,584.89	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,862.09	Facility		$758.58	$1,174.90	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,995.26	Professional		$1,148.15	$1,348.96	$1,995.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,548.82	Facility		$1,202.26	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Facility		$758.58	$1,174.90	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,089.30	Professional		$79.43	$1,445.44	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $22,387.21 / $27,542.29	Facility		$11,748.98	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,238.72	Professional		$1,348.96	$1,584.89	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,041.74	Professional		$1,000.00	$1,479.11	$2,041.74