Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $7,943.28	Facility		$1,380.38	$2,570.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,162.28	Professional		$1,071.52	$1,380.38	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $3,090.30	Professional		$1,412.54	$2,344.23	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,137.96 / $2,630.27	Professional		$954.99	$2,137.96	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,951.21	Facility		$1,380.38	$1,949.84	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,090.30	Professional		$1,621.81	$2,187.76	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,137.96	Facility		$1,548.82	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,691.53	Facility		$1,122.02	$1,621.81	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,995.26 / $2,884.03	Professional		$79.43	$1,995.26	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,630.27	Facility		$1,584.89	$2,041.74	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,311.31	Professional		$1,949.84	$2,511.89	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $7,413.10	Facility		$1,096.48	$2,754.23	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,090.30	Professional		$1,380.38	$2,238.72	$3,090.30