Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $13,803.84	Facility		$1,548.82	$1,949.84	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,778.28	Professional		$676.08	$870.96	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,659.59 / $2,344.23	Professional		$794.33	$1,659.59	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,949.84	Professional		$1,122.02	$1,445.44	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,754.23	Facility		$831.76	$1,174.90	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,089.30	Professional		$1,174.90	$1,380.38	$2,089.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,621.81	Facility		$1,096.48	$1,479.11	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,819.70	Facility		$707.95	$1,071.52	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,513.56 / $2,137.96	Professional		$79.43	$1,513.56	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,187.76	Professional		$1,479.11	$1,737.80	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,187.76	Professional		$977.24	$1,513.56	$2,187.76