Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $15,848.93	Facility		$2,398.83	$3,162.28	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,311.31	Professional		$1,122.02	$1,380.38	$3,311.31
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 $1,230.27 / $2,187.76 / $3,388.44	Professional		$1,230.27	$2,187.76	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,951.21	Professional		$1,819.70	$2,398.83	$2,951.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $2,951.21	Facility		$1,174.90	$1,862.09	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,162.28	Professional		$1,862.09	$2,187.76	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,454.71	Facility		$1,778.28	$2,290.87	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,691.53	Facility		$1,202.26	$1,819.70	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,235.94	Professional		$79.43	$2,290.87	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $3,548.13	Professional		$2,187.76	$2,511.89	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,311.31	Professional		$1,584.89	$2,344.23	$3,311.31