Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $7,943.28	Facility		$1,819.70	$3,311.31	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $4,073.80	Professional		$1,202.26	$1,737.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $4,073.80	Professional		$1,819.70	$2,884.03	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $3,467.37	Professional		$1,318.26	$2,818.38	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,890.45	Facility		$1,819.70	$2,570.40	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $4,365.16	Professional		$2,137.96	$2,691.53	$4,365.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $2,754.23	Facility		$2,089.30	$2,630.27	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,388.44	Facility		$1,659.59	$2,089.30	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,570.40 / $3,801.89	Professional		$79.43	$2,570.40	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $4,365.16	Professional		$2,511.89	$3,235.94	$4,365.16
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 $1,778.28 / $2,818.38 / $3,981.07	Professional		$1,778.28	$2,818.38	$3,981.07