Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $7,943.28	Facility		$1,348.96	$2,398.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,630.27	Professional		$870.96	$1,096.48	$2,630.27
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 $1,000.00 / $1,698.24 / $2,630.27	Professional		$1,000.00	$1,698.24	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,290.87	Professional		$1,445.44	$1,905.46	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,290.87	Facility		$933.25	$1,445.44	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,511.89	Professional		$1,479.11	$1,698.24	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,949.84	Facility		$1,513.56	$1,862.09	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,089.30	Facility		$954.99	$1,445.44	$2,089.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,819.70 / $2,570.40	Professional		$79.43	$1,819.70	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $42,657.95 / $67,608.30	Facility		$17,378.01	$42,657.95	$67,608.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,884.03	Professional		$1,698.24	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $25,703.96 / $52,480.75	Facility		$3,311.31	$25,703.96	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,630.27	Professional		$1,230.27	$1,862.09	$2,630.27