Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,735.15 / $3,334.13 / $7,920.26	Facility		$2,735.15	$3,334.13	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.31 / $1,869.45 / $5,517.81	Professional		$1,236.31	$1,869.45	$5,517.81
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 $1,410.00 / $2,693.79 / $3,833.64	Professional		$1,410.00	$2,693.79	$3,833.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,169.26 / $2,848.43 / $3,474.71	Professional		$2,169.26	$2,848.43	$3,474.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,502.70 / $2,543.34 / $3,897.70	Facility		$1,502.70	$2,543.34	$3,897.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,226.67 / $2,512.86 / $4,084.50	Professional		$2,226.67	$2,512.86	$4,084.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,860.04 / $2,642.56 / $2,791.40	Facility		$1,860.04	$2,642.56	$2,791.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,604.96 / $2,867.69 / $3,897.70	Facility		$1,604.96	$2,867.69	$3,897.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,331.26 / $3,004.16 / $3,928.59	Professional		$2,331.26	$3,004.16	$3,928.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,263.16 / $7,263.16 / $7,263.16	Facility		$7,263.16	$7,263.16	$7,263.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,541.31 / $3,245.27 / $3,915.07	Professional		$2,541.31	$3,245.27	$3,915.07
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 $2,067.03 / $2,906.03 / $4,355.13	Professional		$2,067.03	$2,906.03	$4,355.13