Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $13,182.57	Facility		$1,318.26	$1,737.80	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,698.24	Professional		$660.69	$776.25	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,089.30	Professional		$741.31	$1,445.44	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,737.80	Professional		$1,000.00	$1,288.25	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,290.87	Facility		$758.58	$1,230.27	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,778.28	Professional		$1,000.00	$1,174.90	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,348.96	Facility		$977.24	$1,258.93	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,584.89	Facility		$758.58	$977.24	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,258.93 / $1,819.70	Professional		$79.43	$1,258.93	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $66,069.34 / $79,432.82	Facility		$48,977.88	$66,069.34	$79,432.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,819.70	Professional		$1,202.26	$1,412.54	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $35,481.34 / $89,125.09	Facility		$3,981.07	$35,481.34	$89,125.09
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,819.70	Professional		$831.76	$1,288.25	$1,819.70