Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $7,943.28	Facility		$1,778.28	$3,019.95	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,019.95	Professional		$1,096.48	$1,412.54	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $3,630.78	Professional		$1,230.27	$2,570.40	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,884.03	Professional		$1,659.59	$2,137.96	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,311.31	Facility		$1,412.54	$1,819.70	$3,311.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,162.28	Professional		$1,737.80	$2,089.30	$3,162.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,398.83	Facility		$1,778.28	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,884.03	Facility		$1,288.25	$1,778.28	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,311.31	Professional		$79.43	$2,290.87	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,235.94	Professional		$2,187.76	$2,570.40	$3,235.94
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 $1,479.11 / $2,344.23 / $3,311.31	Professional		$1,479.11	$2,344.23	$3,311.31