Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,893.09 / $3,515.61 / $7,920.26	Facility		$2,893.09	$3,515.61	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.14 / $1,971.88 / $5,845.34	Professional		$1,303.14	$1,971.88	$5,845.34
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 $1,459.27 / $2,847.87 / $4,054.67	Professional		$1,459.27	$2,847.87	$4,054.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,286.67 / $3,002.60 / $3,655.93	Professional		$2,286.67	$3,002.60	$3,655.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,649.51 / $2,771.86 / $4,119.85	Facility		$1,649.51	$2,771.86	$4,119.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.48 / $2,661.04 / $4,311.42	Professional		$2,321.48	$2,661.04	$4,311.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,073.17 / $2,785.57 / $2,940.63	Facility		$2,073.17	$2,785.57	$2,940.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,689.78 / $3,008.16 / $4,119.85	Facility		$1,689.78	$3,008.16	$4,119.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.76 / $3,171.05 / $4,151.50	Professional		$2,456.76	$3,171.05	$4,151.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,685.48 / $7,685.48 / $7,685.48	Facility		$7,685.48	$7,685.48	$7,685.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,687.68 / $3,425.61 / $4,140.58	Professional		$2,687.68	$3,425.61	$4,140.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $8,571.00 / $36,803.00	Facility		$1,345.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,150.00 / $3,072.23 / $4,605.97	Professional		$2,150.00	$3,072.23	$4,605.97