Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $7,943.28	Facility		$1,202.26	$2,041.74	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,187.76	Professional		$758.58	$933.25	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,445.44 / $2,137.96	Professional		$630.96	$1,445.44	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,949.84	Professional		$1,174.90	$1,621.81	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,949.84	Facility		$812.83	$1,071.52	$1,949.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,041.74	Professional		$1,230.27	$1,513.56	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $1,659.59	Facility		$1,348.96	$1,584.89	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,905.46	Facility		$794.33	$1,174.90	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,621.81 / $2,238.72	Professional		$79.43	$1,621.81	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,187.76	Professional		$1,513.56	$1,737.80	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,290.87	Professional		$1,047.13	$1,584.89	$2,290.87