Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,906.63 / $7,920.26	Facility		$2,747.00	$3,906.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.43 / $2,143.48 / $8,412.95	Professional		$1,591.43	$2,143.48	$8,412.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,167.71 / $3,414.15 / $4,794.96	Professional		$2,167.71	$3,414.15	$4,794.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,540.94 / $3,610.14 / $4,109.67	Professional		$2,540.94	$3,610.14	$4,109.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,143.48 / $3,197.97 / $4,631.70	Facility		$2,143.48	$3,197.97	$4,631.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,609.87 / $3,202.82 / $5,188.10	Professional		$2,609.87	$3,202.82	$5,188.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,326.08 / $3,095.35 / $3,396.90	Facility		$2,326.08	$3,095.35	$3,396.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,143.48 / $3,495.66 / $4,608.50	Facility		$2,143.48	$3,495.66	$4,608.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,794.63 / $3,775.98 / $4,974.13	Professional		$2,794.63	$3,775.98	$4,974.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,560.35 / $8,560.35 / $8,560.35	Facility		$8,560.35	$8,560.35	$8,560.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,982.28 / $3,923.33 / $5,168.06	Professional		$2,982.28	$3,923.33	$5,168.06
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 $2,479.88 / $3,525.17 / $5,158.84	Professional		$2,479.88	$3,525.17	$5,158.84