Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,714.93 / $3,321.30 / $7,920.26	Facility		$2,714.93	$3,321.30	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,234.43 / $1,866.49 / $4,976.21	Professional		$1,234.43	$1,866.49	$4,976.21
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 $1,376.04 / $2,602.98 / $3,827.14	Professional		$1,376.04	$2,602.98	$3,827.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,165.30 / $2,843.23 / $3,479.12	Professional		$2,165.30	$2,843.23	$3,479.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,500.67 / $2,440.94 / $3,766.27	Facility		$1,500.67	$2,440.94	$3,766.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,063.40 / $2,443.66 / $4,068.78	Professional		$2,063.40	$2,443.66	$4,068.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,808.95 / $2,627.07 / $2,775.14	Facility		$1,808.95	$2,627.07	$2,775.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,606.66 / $2,773.27 / $3,766.27	Facility		$1,606.66	$2,773.27	$3,766.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,303.53 / $2,987.73 / $3,914.95	Professional		$2,303.53	$2,987.73	$3,914.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,027.15 / $7,027.15 / $7,027.15	Facility		$7,027.15	$7,027.15	$7,027.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,533.92 / $3,232.83 / $3,903.70	Professional		$2,533.92	$3,232.83	$3,903.70
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 $2,034.00 / $2,970.98 / $4,558.76	Professional		$2,034.00	$2,970.98	$4,558.76