Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $13,182.57	Facility		$1,348.96	$1,778.28	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,862.09	Professional		$588.84	$724.44	$1,862.09
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 $691.83 / $1,230.27 / $1,862.09	Professional		$691.83	$1,230.27	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,659.59	Professional		$1,047.13	$1,380.38	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Facility		$676.08	$1,047.13	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,737.80	Professional		$954.99	$1,202.26	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,380.38	Facility		$1,023.29	$1,288.25	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,445.44	Facility		$691.83	$1,047.13	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,819.70	Professional		$79.43	$1,258.93	$1,819.70
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 $1,071.52 / $1,380.38 / $1,995.26	Professional		$1,071.52	$1,380.38	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $16,218.10 / $23,988.33	Facility		$2,884.03	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,819.70	Professional		$851.14	$1,288.25	$1,819.70