Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.20 / $4,704.00 / $8,728.00	Facility		$1,233.20	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.18 / $824.66 / $2,872.76	Professional		$487.18	$824.66	$2,872.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.96 / $1,239.91 / $1,631.43	Professional		$746.96	$1,239.91	$1,631.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.15 / $1,267.38 / $1,447.21	Professional		$879.15	$1,267.38	$1,447.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.32 / $1,158.06 / $1,773.02	Facility		$658.32	$1,158.06	$1,773.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $853.23 / $928.34 / $1,739.97	Professional		$853.23	$928.34	$1,739.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $719.39 / $1,025.73 / $1,113.83	Facility		$719.39	$1,025.73	$1,113.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.66 / $1,332.45 / $2,724.00	Facility		$824.66	$1,332.45	$2,724.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $951.87 / $1,310.40 / $1,646.87	Professional		$951.87	$1,310.40	$1,646.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,721.75 / $12,751.18	Facility		$7,382.73	$9,721.75	$12,751.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,020.34 / $1,361.21 / $1,740.29	Professional		$1,020.34	$1,361.21	$1,740.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.79 / $1,178.34 / $1,765.01	Professional		$817.79	$1,178.34	$1,765.01