Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $13,182.57	Facility		$1,412.54	$1,819.70	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,949.84	Professional		$602.56	$741.31	$1,949.84
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 $724.44 / $1,230.27 / $1,905.46	Professional		$724.44	$1,230.27	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,778.28	Professional		$1,148.15	$1,479.11	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,584.89	Facility		$707.95	$1,096.48	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,819.70	Professional		$1,000.00	$1,202.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,412.54	Facility		$912.01	$1,258.93	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,548.82	Facility		$707.95	$1,047.13	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,905.46	Professional		$79.43	$1,258.93	$1,905.46
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 $1,122.02 / $1,445.44 / $1,995.26	Professional		$1,122.02	$1,445.44	$1,995.26
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 $851.14 / $1,258.93 / $1,862.09	Professional		$851.14	$1,258.93	$1,862.09