Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $7,943.28	Facility		$1,548.82	$1,995.26	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,089.30	Professional		$707.95	$870.96	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,290.87	Facility		$1,122.02	$1,122.02	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,380.38 / $2,041.74	Professional		$467.74	$1,380.38	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,862.09	Professional		$1,071.52	$1,479.11	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $2,041.74	Facility		$758.58	$1,174.90	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,819.70	Professional		$1,122.02	$1,348.96	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,513.56	Facility		$1,096.48	$1,445.44	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,862.09	Facility		$676.08	$1,071.52	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,479.11 / $2,041.74	Professional		$79.43	$1,479.11	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,041.74	Professional		$1,380.38	$1,621.81	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,089.30	Professional		$851.14	$1,445.44	$2,089.30