Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.77 / $2,747.00 / $7,920.26	Facility		$1,436.77	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $1,071.05 / $3,746.40	Professional		$650.79	$1,071.05	$3,746.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.55 / $1,598.75 / $2,155.57	Professional		$989.55	$1,598.75	$2,155.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.58 / $1,650.09 / $1,857.83	Professional		$1,150.58	$1,650.09	$1,857.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $926.91 / $1,516.05 / $2,302.76	Facility		$926.91	$1,516.05	$2,302.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.74 / $1,258.20 / $2,336.25	Professional		$1,108.74	$1,258.20	$2,336.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,013.57 / $1,342.25 / $1,468.64	Facility		$1,013.57	$1,342.25	$1,468.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.05 / $1,670.30 / $2,003.00	Facility		$1,071.05	$1,670.30	$2,003.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,261.00 / $1,694.16 / $2,164.46	Professional		$1,261.00	$1,694.16	$2,164.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,696.33 / $3,696.33 / $3,696.33	Facility		$3,696.33	$3,696.33	$3,696.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,338.30 / $1,798.54 / $2,299.41	Professional		$1,338.30	$1,798.54	$2,299.41
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 $1,113.00 / $1,551.85 / $2,315.06	Professional		$1,113.00	$1,551.85	$2,315.06