Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $13,803.84	Facility		$1,949.84	$2,511.89	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,754.23	Professional		$891.25	$1,096.48	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,691.53	Professional		$1,000.00	$1,737.80	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,344.23	Professional		$1,445.44	$1,949.84	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,951.21	Facility		$933.25	$1,445.44	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,630.27	Professional		$1,513.56	$1,778.28	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $1,995.26	Facility		$1,621.81	$1,905.46	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,344.23	Facility		$977.24	$1,548.82	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,862.09 / $2,630.27	Professional		$79.43	$1,862.09	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,884.03	Professional		$1,737.80	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,691.53	Professional		$1,230.27	$1,905.46	$2,691.53