Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,579.90 / $3,159.27 / $7,920.26	Facility		$2,579.90	$3,159.27	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,774.38 / $4,666.47	Professional		$1,163.82	$1,774.38	$4,666.47
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 $1,309.33 / $2,476.76 / $3,639.54	Professional		$1,309.33	$2,476.76	$3,639.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,060.44 / $2,705.56 / $3,311.77	Professional		$2,060.44	$2,705.56	$3,311.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,421.36 / $2,322.69 / $3,563.56	Facility		$1,421.36	$2,322.69	$3,563.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,943.40 / $2,306.83 / $3,869.37	Professional		$1,943.40	$2,306.83	$3,869.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,699.65 / $2,494.41 / $2,639.13	Facility		$1,699.65	$2,494.41	$2,639.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,477.60 / $2,616.32 / $3,563.56	Facility		$1,477.60	$2,616.32	$3,563.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,183.04 / $2,841.27 / $3,722.46	Professional		$2,183.04	$2,841.27	$3,722.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,721.95 / $6,721.95 / $6,721.95	Facility		$6,721.95	$6,721.95	$6,721.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,410.30 / $3,074.39 / $3,713.25	Professional		$2,410.30	$3,074.39	$3,713.25
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 $1,841.93 / $2,637.88 / $4,130.63	Professional		$1,841.93	$2,637.88	$4,130.63