Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.90 / $2,978.71 / $7,920.26	Facility		$2,453.90	$2,978.71	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.19 / $1,638.78 / $6,433.26	Professional		$1,163.19	$1,638.78	$6,433.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.54 / $2,572.48 / $3,644.40	Professional		$1,659.54	$2,572.48	$3,644.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,942.04 / $2,759.69 / $3,141.54	Professional		$1,942.04	$2,759.69	$3,141.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,638.78 / $2,370.14 / $3,523.38	Facility		$1,638.78	$2,370.14	$3,523.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.63 / $2,441.91 / $3,953.15	Professional		$1,988.63	$2,441.91	$3,953.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,751.47 / $2,365.75 / $2,483.02	Facility		$1,751.47	$2,365.75	$2,483.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,638.78 / $2,565.50 / $3,468.22	Facility		$1,638.78	$2,565.50	$3,468.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,139.66 / $2,891.46 / $3,808.94	Professional		$2,139.66	$2,891.46	$3,808.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,524.94 / $6,524.94 / $6,524.94	Facility		$6,524.94	$6,524.94	$6,524.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,274.98 / $2,992.86 / $3,942.39	Professional		$2,274.98	$2,992.86	$3,942.39
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 $1,894.89 / $2,671.91 / $3,935.37	Professional		$1,894.89	$2,671.91	$3,935.37