Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $7,943.28	Facility		$1,698.24	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $3,388.44	Professional		$870.96	$1,318.26	$3,388.44
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 $1,202.26 / $2,089.30 / $3,235.94	Professional		$1,202.26	$2,089.30	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $2,951.21	Professional		$1,862.09	$2,454.71	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,691.53	Facility		$1,174.90	$1,737.80	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,162.28	Professional		$1,659.59	$2,041.74	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,454.71	Facility		$1,584.89	$2,137.96	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,570.40	Facility		$1,174.90	$1,698.24	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,235.94	Professional		$79.43	$2,187.76	$3,235.94
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 $1,862.09 / $2,511.89 / $3,467.37	Professional		$1,862.09	$2,511.89	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,235.94	Professional		$1,412.54	$2,187.76	$3,235.94