Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.20 / $2,747.00 / $7,920.26	Facility		$1,854.20	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.06 / $1,226.42 / $4,867.05	Professional		$1,002.06	$1,226.42	$4,867.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.63 / $2,054.02 / $2,782.96	Professional		$1,265.63	$2,054.02	$2,782.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,466.20 / $2,065.23 / $2,350.98	Professional		$1,466.20	$2,065.23	$2,350.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,226.42 / $1,912.60 / $2,940.63	Facility		$1,226.42	$1,912.60	$2,940.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.68 / $1,964.52 / $3,011.01	Professional		$1,514.68	$1,964.52	$3,011.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,377.60 / $1,850.20 / $2,160.36	Facility		$1,377.60	$1,850.20	$2,160.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,226.42 / $2,043.83 / $2,940.63	Facility		$1,226.42	$2,043.83	$2,940.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.57 / $2,206.62 / $2,901.51	Professional		$1,659.57	$2,206.62	$2,901.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,811.13 / $10,179.44 / $12,623.94	Facility		$7,811.13	$10,179.44	$12,623.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,732.54 / $2,279.23 / $3,002.36	Professional		$1,732.54	$2,279.23	$3,002.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,455.48 / $2,283.98 / $2,997.00	Professional		$1,455.48	$2,283.98	$2,997.00