Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,626.77 / $7,920.26	Facility		$2,747.00	$4,626.77	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,899.45 / $3,133.62 / $10,034.70	Professional		$1,899.45	$3,133.62	$10,034.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.46 / $4,127.35 / $5,695.73	Professional		$2,595.46	$4,127.35	$5,695.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,004.89 / $4,249.14 / $4,837.09	Professional		$3,004.89	$4,249.14	$4,837.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,547.66 / $3,839.16 / $5,546.20	Facility		$2,547.66	$3,839.16	$5,546.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,095.57 / $3,879.18 / $6,153.61	Professional		$3,095.57	$3,879.18	$6,153.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,790.24 / $3,660.50 / $3,918.16	Facility		$2,790.24	$3,660.50	$3,918.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,547.66 / $4,190.72 / $5,477.47	Facility		$2,547.66	$4,190.72	$5,477.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,338.51 / $4,506.84 / $5,936.90	Professional		$3,338.51	$4,506.84	$5,936.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,263.89 / $10,263.89 / $10,263.89	Facility		$10,263.89	$10,263.89	$10,263.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,550.57 / $4,670.93 / $6,152.86	Professional		$3,550.57	$4,670.93	$6,152.86
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 $2,916.18 / $4,223.77 / $6,141.89	Professional		$2,916.18	$4,223.77	$6,141.89