Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,069.67 / $7,920.26	Facility		$2,747.00	$4,069.67	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.88 / $2,242.71 / $8,825.66	Professional		$1,615.88	$2,242.71	$8,825.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,287.19 / $3,590.08 / $4,987.70	Professional		$2,287.19	$3,590.08	$4,987.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,649.86 / $3,754.61 / $4,274.13	Professional		$2,649.86	$3,754.61	$4,274.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,242.71 / $3,335.04 / $4,894.57	Facility		$2,242.71	$3,335.04	$4,894.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,717.68 / $3,419.64 / $5,402.42	Professional		$2,717.68	$3,419.64	$5,402.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,349.00 / $3,228.01 / $3,413.65	Facility		$2,349.00	$3,228.01	$3,413.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,242.71 / $3,568.62 / $4,821.85	Facility		$2,242.71	$3,568.62	$4,821.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,945.11 / $3,964.74 / $5,213.85	Professional		$2,945.11	$3,964.74	$5,213.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,901.04 / $8,901.04 / $8,901.04	Facility		$8,901.04	$8,901.04	$8,901.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,114.51 / $4,097.28 / $5,397.21	Professional		$3,114.51	$4,097.28	$5,397.21
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 $2,607.80 / $3,684.24 / $5,387.59	Professional		$2,607.80	$3,684.24	$5,387.59