Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,801.89 / $7,943.28	Facility		$758.58	$3,801.89	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,698.24 / $4,365.16	Professional		$389.05	$1,698.24	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,513.56 / $5,011.87	Professional		$537.03	$1,513.56	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $3,388.44 / $8,128.31	Professional		$676.08	$3,388.44	$8,128.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,995.26 / $5,495.41	Facility		$489.78	$1,995.26	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,905.46 / $6,165.95	Professional		$588.84	$1,905.46	$6,165.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $3,467.37	Facility		$2,089.30	$3,162.28	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,698.24 / $5,128.61	Facility		$446.68	$1,698.24	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,047.13 / $4,466.84	Professional		$79.43	$1,047.13	$4,466.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,709.64 / $13,182.57	Facility		$5,370.32	$8,709.64	$13,182.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,288.25 / $4,265.80	Professional		$724.44	$1,288.25	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $15,135.61	Facility		$1,995.26	$10,232.93	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,698.24 / $4,570.88	Professional		$575.44	$1,698.24	$4,570.88