Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,970.76 / $7,920.26	Facility		$2,747.00	$3,970.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.80 / $2,160.12 / $8,589.70	Professional		$1,713.80	$2,160.12	$8,589.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,237.46 / $3,611.23 / $4,908.05	Professional		$2,237.46	$3,611.23	$4,908.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,580.71 / $3,627.39 / $4,129.30	Professional		$2,580.71	$3,627.39	$4,129.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,160.12 / $3,368.71 / $4,889.93	Facility		$2,160.12	$3,368.71	$4,889.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,669.65 / $3,424.19 / $5,306.94	Professional		$2,669.65	$3,424.19	$5,306.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,425.89 / $3,143.76 / $3,395.24	Facility		$2,425.89	$3,143.76	$3,395.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,160.12 / $3,599.84 / $4,644.26	Facility		$2,160.12	$3,599.84	$4,644.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,870.10 / $3,894.54 / $5,117.04	Professional		$2,870.10	$3,894.54	$5,117.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,025.29 / $9,025.29 / $9,025.29	Facility		$9,025.29	$9,025.29	$9,025.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,055.47 / $4,019.61 / $5,294.89	Professional		$3,055.47	$4,019.61	$5,294.89
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 $2,575.57 / $3,642.49 / $5,285.46	Professional		$2,575.57	$3,642.49	$5,285.46