Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,913.66 / $7,920.26	Facility		$2,747.00	$3,913.66	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,684.78 / $2,275.12 / $8,999.11	Professional		$1,684.78	$2,275.12	$8,999.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,204.96 / $3,560.28 / $4,837.24	Professional		$2,204.96	$3,560.28	$4,837.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,543.17 / $3,574.79 / $4,069.43	Professional		$2,543.17	$3,574.79	$4,069.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,275.12 / $3,432.75 / $4,891.51	Facility		$2,275.12	$3,432.75	$4,891.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.69 / $3,404.45 / $5,229.50	Professional		$2,630.69	$3,404.45	$5,229.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,351.04 / $3,098.04 / $3,475.96	Facility		$2,351.04	$3,098.04	$3,475.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,275.12 / $3,728.24 / $4,819.60	Facility		$2,275.12	$3,728.24	$4,819.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,845.15 / $3,839.94 / $5,044.93	Professional		$2,845.15	$3,839.94	$5,044.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,851.37 / $8,851.37 / $8,851.37	Facility		$8,851.37	$8,851.37	$8,851.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,012.42 / $3,962.97 / $5,220.29	Professional		$3,012.42	$3,962.97	$5,220.29
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 $2,675.92 / $3,764.26 / $5,210.99	Professional		$2,675.92	$3,764.26	$5,210.99