Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $13,182.57	Facility		$1,737.80	$2,290.87	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,398.83	Professional		$758.58	$933.25	$2,398.83
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 $891.25 / $1,548.82 / $2,344.23	Professional		$891.25	$1,548.82	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,187.76	Professional		$1,412.54	$1,862.09	$2,187.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,089.30	Facility		$891.25	$1,380.38	$2,089.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,290.87	Professional		$1,288.25	$1,513.56	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,778.28	Facility		$1,288.25	$1,621.81	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,380.38 / $1,949.84	Facility		$870.96	$1,380.38	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $2,344.23	Professional		$79.43	$1,584.89	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,454.71	Professional		$1,479.11	$1,778.28	$2,454.71
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 $1,096.48 / $1,621.81 / $2,290.87	Professional		$1,096.48	$1,621.81	$2,290.87