Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $15,848.93	Facility		$812.83	$1,023.29	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,096.48	Professional		$380.19	$467.74	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,677.35	Facility		$4,365.16	$4,365.16	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,071.52	Professional		$398.11	$724.44	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $954.99	Professional		$549.54	$741.31	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $602.56 / $1,023.29	Facility		$398.11	$602.56	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $977.24	Professional		$616.60	$741.31	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $812.83	Facility		$645.65	$776.25	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $977.24	Facility		$380.19	$616.60	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $812.83 / $1,096.48	Professional		$79.43	$812.83	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $17,782.79 / $21,877.62	Facility		$13,489.63	$17,782.79	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $1,096.48	Professional		$758.58	$851.14	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $26,302.68	Facility		$1,995.26	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,122.02	Professional		$501.19	$794.33	$1,122.02