Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,235.94 / $13,182.57	Facility		$645.65	$3,235.94	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,023.29 / $3,311.31	Professional		$331.13	$1,023.29	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,096.48 / $4,073.80	Professional		$524.81	$1,096.48	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $3,801.89	Professional		$588.84	$870.96	$3,801.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,862.09 / $4,786.30	Facility		$436.52	$1,862.09	$4,786.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,819.70 / $3,801.89	Professional		$537.03	$1,819.70	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $2,884.03	Facility		$1,698.24	$2,398.83	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $3,235.94	Facility		$407.38	$1,584.89	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $851.14 / $3,801.89	Professional		$79.43	$851.14	$3,801.89
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 $645.65 / $1,148.15 / $3,715.35	Professional		$645.65	$1,148.15	$3,715.35
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 $524.81 / $1,445.44 / $3,801.89	Professional		$524.81	$1,445.44	$3,801.89