Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,035.81 / $3,523.85 / $3,523.85	Professional		$3,035.81	$3,523.85	$3,523.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,885.20 / $6,244.29 / $8,639.26	Professional		$3,885.20	$6,244.29	$8,639.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,927.87 / $6,022.09 / $7,558.39	Professional		$4,927.87	$6,022.09	$7,558.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,523.85 / $4,975.33 / $8,658.56	Facility		$3,523.85	$4,975.33	$8,658.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,303.64 / $4,800.60 / $5,506.06	Facility		$3,303.64	$4,800.60	$5,506.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,523.85 / $5,039.10 / $8,658.56	Facility		$3,523.85	$5,039.10	$8,658.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,511.20 / $6,179.54 / $8,590.20	Professional		$3,511.20	$6,179.54	$8,590.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,765.26 / $6,852.01 / $8,927.25	Professional		$4,765.26	$6,852.01	$8,927.25
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 $3,706.17 / $4,791.51 / $8,166.39	Professional		$3,706.17	$4,791.51	$8,166.39