Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $13,803.84	Facility		$1,659.59	$2,089.30	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,041.74	Professional		$741.31	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $2,511.89	Professional		$912.01	$1,778.28	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,884.03	Facility		$912.01	$1,348.96	$2,884.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,187.76	Professional		$1,202.26	$1,445.44	$2,187.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,659.59	Facility		$1,258.93	$1,548.82	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,995.26	Facility		$870.96	$1,174.90	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,584.89 / $2,238.72	Professional		$79.43	$1,584.89	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $15,848.93 / $19,054.61	Facility		$12,022.64	$15,848.93	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,238.72	Professional		$1,513.56	$1,819.70	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,290.87	Professional		$1,023.29	$1,621.81	$2,290.87