Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $15,848.93	Facility		$1,445.44	$1,862.09	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,905.46	Professional		$724.44	$870.96	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,949.84	Professional		$758.58	$1,174.90	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,318.26 / $1,479.11	Professional		$645.65	$1,318.26	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,344.23	Facility		$741.31	$1,122.02	$2,344.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,819.70	Professional		$1,023.29	$1,202.26	$1,819.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,445.44	Facility		$1,000.00	$1,380.38	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,737.80	Facility		$691.83	$1,071.52	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,318.26 / $1,862.09	Professional		$79.43	$1,318.26	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,302.69 / $14,454.40	Facility		$8,912.51	$12,302.69	$14,454.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,862.09	Professional		$1,318.26	$1,548.82	$1,862.09
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 $912.01 / $1,348.96 / $1,949.84	Professional		$912.01	$1,348.96	$1,949.84