Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $8,511.38 / $17,378.01	Facility		$1,000.00	$8,511.38	$17,378.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $2,398.83	Professional		$741.31	$912.01	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $2,238.72	Professional		$794.33	$1,584.89	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,737.80	Professional		$851.14	$1,096.48	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $13,489.63	Facility		$870.96	$1,659.59	$13,489.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,905.46	Professional		$870.96	$1,348.96	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,621.81	Facility		$1,202.26	$1,412.54	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,995.26	Facility		$724.44	$1,148.15	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $1,995.26	Professional		$79.43	$1,445.44	$1,995.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,949.84	Professional		$1,380.38	$1,548.82	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $23,988.33	Facility		$2,884.03	$17,378.01	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,137.96	Professional		$1,000.00	$1,584.89	$2,137.96