Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.17 / $2,747.00 / $7,920.26	Facility		$2,193.17	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.64 / $1,448.47 / $5,758.37	Professional		$1,158.64	$1,448.47	$5,758.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,499.89 / $2,423.00 / $3,289.40	Professional		$1,499.89	$2,423.00	$3,289.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,732.10 / $2,436.16 / $2,773.25	Professional		$1,732.10	$2,436.16	$2,773.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,448.47 / $2,258.89 / $3,279.40	Facility		$1,448.47	$2,258.89	$3,279.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,791.69 / $2,322.01 / $3,561.65	Professional		$1,791.69	$2,322.01	$3,561.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,647.30 / $2,110.02 / $2,278.00	Facility		$1,647.30	$2,110.02	$2,278.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,448.47 / $2,413.88 / $3,114.21	Facility		$1,448.47	$2,413.88	$3,114.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,924.55 / $2,608.32 / $3,430.93	Professional		$1,924.55	$2,608.32	$3,430.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,095.53 / $6,095.53 / $6,095.53	Facility		$6,095.53	$6,095.53	$6,095.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,048.67 / $2,695.11 / $3,550.18	Professional		$2,048.67	$2,695.11	$3,550.18
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 $1,725.36 / $2,474.71 / $3,510.87	Professional		$1,725.36	$2,474.71	$3,510.87