Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $7,943.28	Facility		$3,090.30	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,128.61	Professional		$1,905.46	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $6,309.57	Professional		$2,137.96	$4,466.84	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $5,011.87	Professional		$2,884.03	$3,801.89	$5,011.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,760.83	Facility		$2,187.76	$3,162.28	$6,760.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $5,370.32	Professional		$3,019.95	$3,630.78	$5,370.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $4,073.80	Facility		$2,951.21	$3,981.07	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,248.07	Facility		$2,187.76	$3,090.30	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,890.45 / $5,623.41	Professional		$79.43	$3,890.45	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $5,495.41	Professional		$3,801.89	$4,466.84	$5,495.41
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 $2,570.40 / $4,073.80 / $5,623.41	Professional		$2,570.40	$4,073.80	$5,623.41