Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $13,182.57	Facility		$1,584.89	$2,041.74	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $2,187.76	Professional		$724.44	$870.96	$2,187.76
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 $794.33 / $1,412.54 / $2,137.96	Professional		$794.33	$1,412.54	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,905.46	Professional		$1,202.26	$1,584.89	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,949.84	Facility		$776.25	$1,230.27	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,041.74	Professional		$1,202.26	$1,412.54	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,584.89	Facility		$1,258.93	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,737.80	Facility		$794.33	$1,230.27	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,089.30	Professional		$79.43	$1,479.11	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,290.87	Professional		$1,412.54	$1,621.81	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,137.96	Professional		$977.24	$1,513.56	$2,137.96