Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $13,803.84	Facility		$2,089.30	$2,754.23	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,884.03	Professional		$954.99	$1,202.26	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,951.21	Professional		$1,096.48	$1,905.46	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,570.40	Professional		$1,584.89	$2,089.30	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,570.40	Facility		$1,047.13	$1,659.59	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,754.23	Professional		$1,621.81	$1,905.46	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,137.96	Facility		$1,698.24	$2,041.74	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,290.87	Facility		$1,047.13	$1,659.59	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,818.38	Professional		$79.43	$1,995.26	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $44,668.36 / $53,703.18	Facility		$33,884.42	$44,668.36	$53,703.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $3,162.28	Professional		$1,905.46	$2,187.76	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $56,234.13	Facility		$2,884.03	$17,782.79	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,884.03	Professional		$1,348.96	$2,041.74	$2,884.03