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 $1,117.19 / $2,744.22 / $2,744.22	Professional		$1,117.19	$2,744.22	$2,744.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,063.49 / $4,845.50 / $6,703.97	Professional		$3,063.49	$4,845.50	$6,703.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,765.02 / $4,600.89 / $5,519.33	Professional		$3,765.02	$4,600.89	$5,519.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,820.03 / $2,881.43 / $5,900.07	Facility		$1,820.03	$2,881.43	$5,900.07
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 $1,182.45 / $1,689.22 / $1,875.82	Facility		$1,182.45	$1,689.22	$1,875.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.03 / $3,513.15 / $5,900.07	Facility		$1,820.03	$3,513.15	$5,900.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,184.04 / $4,635.09 / $6,665.50	Professional		$2,184.04	$4,635.09	$6,665.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,697.56 / $4,864.31 / $6,407.59	Professional		$3,697.56	$4,864.31	$6,407.59
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 $2,660.58 / $4,164.54 / $5,910.98	Professional		$2,660.58	$4,164.54	$5,910.98