Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $7,943.28	Facility		$977.24	$1,862.09	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $2,041.74	Professional		$691.83	$891.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $2,290.87	Professional		$870.96	$1,584.89	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,949.84	Professional		$1,202.26	$1,548.82	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,041.74	Facility		$776.25	$1,122.02	$2,041.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,041.74	Professional		$1,148.15	$1,318.26	$2,041.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,548.82	Facility		$1,071.52	$1,445.44	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,778.28	Facility		$741.31	$1,047.13	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,445.44 / $2,041.74	Professional		$79.43	$1,445.44	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,089.30	Professional		$1,412.54	$1,621.81	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,089.30	Professional		$912.01	$1,479.11	$2,089.30