Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.57 / $2,747.00 / $7,920.26	Facility		$1,356.57	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.44 / $933.12 / $2,565.30	Professional		$626.44	$933.12	$2,565.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.16 / $1,318.25 / $1,903.53	Professional		$698.16	$1,318.25	$1,903.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.17 / $1,480.08 / $1,817.54	Professional		$1,127.17	$1,480.08	$1,817.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $764.50 / $1,270.38 / $1,887.30	Facility		$764.50	$1,270.38	$1,887.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.32 / $1,235.66 / $2,096.25	Professional		$1,048.32	$1,235.66	$2,096.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $864.85 / $1,313.87 / $1,393.60	Facility		$864.85	$1,313.87	$1,393.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.07 / $1,409.13 / $1,887.30	Facility		$805.07	$1,409.13	$1,887.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,151.23 / $1,497.13 / $1,940.58	Professional		$1,151.23	$1,497.13	$1,940.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,536.65 / $3,536.65 / $3,536.65	Facility		$3,536.65	$3,536.65	$3,536.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,268.19 / $1,615.12 / $1,953.74	Professional		$1,268.19	$1,615.12	$1,953.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $993.00 / $1,428.00 / $2,149.27	Professional		$993.00	$1,428.00	$2,149.27