Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $7,943.28	Facility		$1,445.44	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,995.26	Professional		$660.69	$812.83	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $1,995.26	Professional		$758.58	$1,288.25	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,737.80	Professional		$1,096.48	$1,445.44	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,778.28	Facility		$691.83	$1,096.48	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,862.09	Professional		$1,096.48	$1,288.25	$1,862.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,479.11	Facility		$1,174.90	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,659.59	Facility		$707.95	$1,122.02	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $1,949.84	Professional		$79.43	$1,348.96	$1,949.84
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 $1,288.25 / $1,479.11 / $2,137.96	Professional		$1,288.25	$1,479.11	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $1,949.84	Professional		$954.99	$1,412.54	$1,949.84