Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $15,848.93	Facility		$1,479.11	$1,949.84	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,089.30	Professional		$691.83	$851.14	$2,089.30
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 $549.54 / $1,348.96 / $1,995.26	Professional		$549.54	$1,348.96	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,819.70	Professional		$1,047.13	$1,445.44	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,819.70	Facility		$724.44	$1,071.52	$1,819.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,819.70	Professional		$1,096.48	$1,318.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,513.56	Facility		$1,071.52	$1,412.54	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,778.28	Facility		$691.83	$1,071.52	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $1,995.26	Professional		$79.43	$1,445.44	$1,995.26
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 $1,348.96 / $1,584.89 / $2,041.74	Professional		$1,348.96	$1,584.89	$2,041.74
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 $870.96 / $1,412.54 / $1,995.26	Professional		$870.96	$1,412.54	$1,995.26