Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $7,943.28	Facility		$1,258.93	$2,089.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,290.87	Professional		$758.58	$954.99	$2,290.87
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 / $1,479.11 / $2,187.76	Professional		$630.96	$1,479.11	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,995.26	Professional		$1,202.26	$1,659.59	$1,995.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,995.26	Facility		$831.76	$1,148.15	$1,995.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,698.24	Facility		$1,202.26	$1,621.81	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,949.84	Facility		$794.33	$1,148.15	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,659.59 / $2,290.87	Professional		$79.43	$1,659.59	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,290.87	Professional		$1,548.82	$1,778.28	$2,290.87
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 $933.25 / $1,621.81 / $2,344.23	Professional		$933.25	$1,621.81	$2,344.23