Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,529.40 / $2,747.00 / $7,920.26	Facility		$1,529.40	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.40 / $1,027.11 / $4,009.10	Professional		$761.40	$1,027.11	$4,009.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.35 / $1,624.01 / $2,281.44	Professional		$1,028.35	$1,624.01	$2,281.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.99 / $1,748.30 / $1,990.21	Professional		$1,222.99	$1,748.30	$1,990.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,027.11 / $1,530.48 / $2,208.31	Facility		$1,027.11	$1,530.48	$2,208.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.83 / $1,522.56 / $2,480.53	Professional		$1,247.83	$1,522.56	$2,480.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,100.30 / $1,489.47 / $1,554.40	Facility		$1,100.30	$1,489.47	$1,554.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,027.11 / $1,662.36 / $2,202.00	Facility		$1,027.11	$1,662.36	$2,202.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,329.86 / $1,801.80 / $2,373.53	Professional		$1,329.86	$1,801.80	$2,373.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,035.29 / $4,035.29 / $4,035.29	Facility		$4,035.29	$4,035.29	$4,035.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,422.57 / $1,871.45 / $2,465.19	Professional		$1,422.57	$1,871.45	$2,465.19
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 $1,172.59 / $1,728.25 / $2,437.90	Professional		$1,172.59	$1,728.25	$2,437.90