Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.92 / $2,747.00 / $7,920.26	Facility		$1,597.92	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.95 / $1,186.09 / $4,181.31	Professional		$737.95	$1,186.09	$4,181.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.77 / $1,776.15 / $2,394.53	Professional		$1,106.77	$1,776.15	$2,394.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,274.39 / $1,819.92 / $2,049.05	Professional		$1,274.39	$1,819.92	$2,049.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.09 / $1,712.10 / $2,550.12	Facility		$1,186.09	$1,712.10	$2,550.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,246.44 / $1,444.74 / $2,594.05	Professional		$1,246.44	$1,444.74	$2,594.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,146.33 / $1,552.43 / $1,631.45	Facility		$1,146.33	$1,552.43	$1,631.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,186.09 / $1,849.72 / $2,264.02	Facility		$1,186.09	$1,849.72	$2,264.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,410.37 / $1,888.13 / $2,405.17	Professional		$1,410.37	$1,888.13	$2,405.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,251.78 / $4,251.78 / $4,251.78	Facility		$4,251.78	$4,251.78	$4,251.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,487.14 / $1,997.92 / $2,554.32	Professional		$1,487.14	$1,997.92	$2,554.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.76 / $1,733.75 / $2,572.50	Professional		$1,230.76	$1,733.75	$2,572.50