Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,513.56 / $7,943.28	Facility		$912.01	$1,513.56	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,659.59	Professional		$537.03	$691.83	$1,659.59
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 $524.81 / $1,071.52 / $1,584.89	Professional		$524.81	$1,071.52	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,445.44	Professional		$870.96	$1,202.26	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,412.54	Facility		$616.60	$870.96	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,513.56	Professional		$870.96	$1,071.52	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,230.27	Facility		$912.01	$1,096.48	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,412.54	Facility		$588.84	$891.25	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,174.90 / $1,659.59	Professional		$79.43	$1,174.90	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,659.59	Professional		$1,096.48	$1,288.25	$1,659.59
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 $707.95 / $1,122.02 / $1,698.24	Professional		$707.95	$1,122.02	$1,698.24