Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,547.19 / $3,115.84 / $7,920.26	Facility		$2,547.19	$3,115.84	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.53 / $1,746.92 / $5,030.28	Professional		$1,157.53	$1,746.92	$5,030.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.44 / $2,484.41 / $3,571.75	Professional		$1,319.44	$2,484.41	$3,571.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,028.54 / $2,663.65 / $3,256.67	Professional		$2,028.54	$2,663.65	$3,256.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.78 / $2,366.69 / $3,617.24	Facility		$1,397.78	$2,366.69	$3,617.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $2,333.67 / $3,811.44	Professional		$1,989.00	$2,333.67	$3,811.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,826.57 / $2,471.12 / $2,599.60	Facility		$1,826.57	$2,471.12	$2,599.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,501.23 / $2,624.64 / $3,617.24	Facility		$1,501.23	$2,624.64	$3,617.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,170.64 / $2,793.73 / $3,656.69	Professional		$2,170.64	$2,793.73	$3,656.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,739.69 / $6,739.69 / $6,739.69	Facility		$6,739.69	$6,739.69	$6,739.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,370.94 / $3,027.72 / $3,652.61	Professional		$2,370.94	$3,027.72	$3,652.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,919.64 / $2,637.12 / $4,023.56	Professional		$1,919.64	$2,637.12	$4,023.56