Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,116.62 / $7,920.26	Facility		$2,747.00	$5,116.62	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,199.91 / $3,058.08 / $12,044.80	Professional		$2,199.91	$3,058.08	$12,044.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,116.30 / $4,840.55 / $6,839.40	Professional		$3,116.30	$4,840.55	$6,839.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,611.03 / $5,107.21 / $5,813.88	Professional		$3,611.03	$5,107.21	$5,813.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,058.08 / $4,520.47 / $6,939.22	Facility		$3,058.08	$4,520.47	$6,939.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,720.01 / $4,798.08 / $7,394.92	Professional		$3,720.01	$4,798.08	$7,394.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,336.90 / $4,398.88 / $4,899.71	Facility		$3,336.90	$4,398.88	$4,899.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,058.08 / $4,900.88 / $6,574.87	Facility		$3,058.08	$4,900.88	$6,574.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,008.70 / $5,377.06 / $7,125.71	Professional		$4,008.70	$5,377.06	$7,125.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,320.57 / $12,320.57 / $12,320.57	Facility		$12,320.57	$12,320.57	$12,320.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,264.00 / $5,609.49 / $7,389.19	Professional		$4,264.00	$5,609.49	$7,389.19
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 $3,568.77 / $4,861.72 / $7,307.39	Professional		$3,568.77	$4,861.72	$7,307.39