Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $7,943.28	Facility		$1,148.15	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,238.72	Professional		$691.83	$851.14	$2,238.72
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 $831.76 / $1,380.38 / $2,187.76	Professional		$831.76	$1,380.38	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,995.26	Professional		$1,288.25	$1,698.24	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,778.28	Facility		$812.83	$1,202.26	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,089.30	Professional		$1,122.02	$1,380.38	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,621.81	Facility		$1,071.52	$1,412.54	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,737.80	Facility		$812.83	$1,202.26	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,137.96	Professional		$79.43	$1,445.44	$2,137.96
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 $1,230.27 / $1,659.59 / $2,290.87	Professional		$1,230.27	$1,659.59	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,137.96	Professional		$912.01	$1,445.44	$2,137.96