Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.89 / $2,747.00 / $7,920.26	Facility		$1,103.89	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.35 / $774.06 / $1,883.01	Professional		$460.35	$774.06	$1,883.01
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 $546.66 / $1,054.35 / $1,519.22	Professional		$546.66	$1,054.35	$1,519.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.27 / $1,166.38 / $1,444.53	Professional		$888.27	$1,166.38	$1,444.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $614.24 / $928.89 / $1,399.89	Facility		$614.24	$928.89	$1,399.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $753.78 / $959.47 / $1,648.35	Professional		$753.78	$959.47	$1,648.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.50 / $1,019.74 / $1,124.26	Facility		$711.50	$1,019.74	$1,124.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $620.51 / $1,014.70 / $1,433.89	Facility		$620.51	$1,014.70	$1,433.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $879.20 / $1,201.08 / $1,556.95	Professional		$879.20	$1,201.08	$1,556.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,778.94 / $2,778.94 / $2,778.94	Facility		$2,778.94	$2,778.94	$2,778.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,027.72 / $1,302.97 / $1,583.27	Professional		$1,027.72	$1,302.97	$1,583.27
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 $767.51 / $1,090.51 / $1,744.08	Professional		$767.51	$1,090.51	$1,744.08