Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,637.89 / $7,920.26	Facility		$2,747.00	$4,637.89	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.28 / $2,550.63 / $10,038.10	Professional		$1,894.28	$2,550.63	$10,038.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.73 / $4,098.14 / $5,703.60	Professional		$2,595.73	$4,098.14	$5,703.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,014.45 / $4,269.35 / $4,860.10	Professional		$3,014.45	$4,269.35	$4,860.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,550.63 / $3,856.91 / $5,532.31	Facility		$2,550.63	$3,856.91	$5,532.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,102.50 / $4,026.22 / $6,167.38	Professional		$3,102.50	$4,026.22	$6,167.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,787.81 / $3,672.13 / $3,886.00	Facility		$2,787.81	$3,672.13	$3,886.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,550.63 / $4,222.89 / $5,532.31	Facility		$2,550.63	$4,222.89	$5,532.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,341.44 / $4,505.28 / $5,934.84	Professional		$3,341.44	$4,505.28	$5,934.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,256.81 / $10,256.81 / $10,256.81	Facility		$10,256.81	$10,256.81	$10,256.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,553.03 / $4,674.17 / $6,157.13	Professional		$3,553.03	$4,674.17	$6,157.13
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 $2,969.21 / $4,327.91 / $6,146.13	Professional		$2,969.21	$4,327.91	$6,146.13