Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,894.02 / $4,750.42 / $7,920.26	Facility		$3,894.02	$4,750.42	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.68 / $2,667.76 / $7,122.98	Professional		$1,755.68	$2,667.76	$7,122.98
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 $1,968.70 / $3,714.69 / $5,493.21	Professional		$1,968.70	$3,714.69	$5,493.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,095.84 / $4,065.12 / $4,963.14	Professional		$3,095.84	$4,065.12	$4,963.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,157.42 / $3,489.86 / $5,363.85	Facility		$2,157.42	$3,489.86	$5,363.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,945.25 / $3,492.86 / $5,828.13	Professional		$2,945.25	$3,492.86	$5,828.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,552.23 / $3,749.99 / $3,975.11	Facility		$2,552.23	$3,749.99	$3,975.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,158.52 / $3,963.69 / $5,363.85	Facility		$2,158.52	$3,963.69	$5,363.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,292.25 / $4,286.59 / $5,619.25	Professional		$3,292.25	$4,286.59	$5,619.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,077.59 / $10,077.59 / $10,077.59	Facility		$10,077.59	$10,077.59	$10,077.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,633.60 / $4,630.71 / $5,597.83	Professional		$3,633.60	$4,630.71	$5,597.83
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 $2,952.40 / $4,206.14 / $6,285.53	Professional		$2,952.40	$4,206.14	$6,285.53