Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,952.70 / $7,920.26	Facility		$2,747.00	$3,952.70	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,568.36 / $2,168.73 / $8,512.12	Professional		$1,568.36	$2,168.73	$8,512.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.37 / $3,408.81 / $4,851.99	Professional		$2,194.37	$3,408.81	$4,851.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,571.71 / $3,653.56 / $4,159.10	Professional		$2,571.71	$3,653.56	$4,159.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,168.73 / $3,190.70 / $4,662.77	Facility		$2,168.73	$3,190.70	$4,662.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,641.90 / $3,341.67 / $5,251.77	Professional		$2,641.90	$3,341.67	$5,251.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,354.19 / $3,132.82 / $3,331.32	Facility		$2,354.19	$3,132.82	$3,331.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,168.73 / $3,456.88 / $4,587.27	Facility		$2,168.73	$3,456.88	$4,587.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,828.80 / $3,821.22 / $5,033.72	Professional		$2,828.80	$3,821.22	$5,033.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,663.29 / $8,663.29 / $8,663.29	Facility		$8,663.29	$8,663.29	$8,663.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,017.95 / $3,970.25 / $5,229.88	Professional		$3,017.95	$3,970.25	$5,229.88
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 $2,509.00 / $3,368.58 / $5,171.96	Professional		$2,509.00	$3,368.58	$5,171.96