Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $7,943.28	Facility		$1,698.24	$3,162.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,801.89	Professional		$1,258.93	$1,698.24	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $3,801.89	Professional		$1,698.24	$2,691.53	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $3,235.94	Professional		$1,258.93	$2,630.27	$3,235.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,630.78	Facility		$1,698.24	$2,398.83	$3,630.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,801.89	Professional		$2,041.74	$2,454.71	$3,801.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,570.40	Facility		$1,995.26	$2,454.71	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,162.28	Facility		$1,548.82	$1,995.26	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,398.83 / $3,548.13	Professional		$79.43	$2,398.83	$3,548.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $4,073.80	Professional		$2,344.23	$3,019.95	$4,073.80
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 $1,659.59 / $2,630.27 / $3,715.35	Professional		$1,659.59	$2,630.27	$3,715.35