Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,265.80 / $7,943.28	Facility		$2,290.87	$4,265.80	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,248.07	Professional		$1,737.80	$2,290.87	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $5,128.61	Professional		$2,344.23	$3,630.78	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $4,466.84	Professional		$1,659.59	$3,630.78	$4,466.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $5,011.87	Facility		$2,290.87	$3,311.31	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,128.61	Professional		$2,754.23	$3,548.13	$5,128.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $3,548.13	Facility		$2,754.23	$3,311.31	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,466.84	Facility		$2,089.30	$2,884.03	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,311.31 / $4,786.30	Professional		$79.43	$3,311.31	$4,786.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $5,495.41	Professional		$3,235.94	$4,168.69	$5,495.41
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 $2,290.87 / $3,715.35 / $5,128.61	Professional		$2,290.87	$3,715.35	$5,128.61