Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.08 / $5,649.00 / $15,341.00	Facility		$1,069.08	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.74 / $635.69 / $2,562.41	Professional		$489.74	$635.69	$2,562.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.29 / $1,052.86 / $1,435.73	Professional		$674.29	$1,052.86	$1,435.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.49 / $1,122.67 / $1,264.02	Professional		$784.49	$1,122.67	$1,264.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $635.69 / $991.36 / $1,366.73	Facility		$635.69	$991.36	$1,366.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $718.08 / $856.05 / $1,559.61	Professional		$718.08	$856.05	$1,559.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.27 / $914.96 / $978.20	Facility		$679.27	$914.96	$978.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $635.69 / $1,171.13 / $3,274.00	Facility		$635.69	$1,171.13	$3,274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $859.26 / $1,113.54 / $1,429.38	Professional		$859.26	$1,113.54	$1,429.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $883.79 / $1,197.93 / $1,531.54	Professional		$883.79	$1,197.93	$1,531.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.99 / $1,125.66 / $1,528.83	Professional		$727.99	$1,125.66	$1,528.83