Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $13,182.57	Facility		$1,995.26	$2,570.40	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $3,019.95	Professional		$870.96	$1,122.02	$3,019.95
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 $1,047.13 / $1,737.80 / $2,630.27	Professional		$1,047.13	$1,737.80	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,398.83	Professional		$1,548.82	$2,041.74	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,290.87	Facility		$977.24	$1,513.56	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,570.40	Professional		$1,412.54	$1,698.24	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $1,995.26	Facility		$1,412.54	$1,778.28	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,137.96	Facility		$1,000.00	$1,513.56	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,630.27	Professional		$79.43	$1,819.70	$2,630.27
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 $1,621.81 / $2,041.74 / $2,754.23	Professional		$1,621.81	$2,041.74	$2,754.23
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 $1,258.93 / $1,819.70 / $2,570.40	Professional		$1,258.93	$1,819.70	$2,570.40