Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $35,481.34	Facility		$1,174.90	$7,943.28	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,621.81	Professional		$512.86	$630.96	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $5,011.87	Facility		$2,344.23	$2,344.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,548.82	Professional		$478.63	$1,023.29	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,412.54	Professional		$812.83	$1,122.02	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,412.54	Facility		$562.34	$812.83	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,412.54	Professional		$831.76	$1,000.00	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,174.90	Facility		$794.33	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,380.38	Facility		$537.03	$812.83	$1,380.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,122.02 / $1,584.89	Professional		$79.43	$1,122.02	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,584.89	Professional		$1,023.29	$1,230.27	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $23,988.33	Facility		$2,238.72	$16,218.10	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,621.81	Professional		$676.08	$1,071.52	$1,621.81