Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,731.94 / $4,540.12 / $7,920.26	Facility		$3,731.94	$4,540.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,764.27 / $2,534.44 / $5,830.94	Professional		$1,764.27	$2,534.44	$5,830.94
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 $1,861.86 / $3,677.35 / $5,223.34	Professional		$1,861.86	$3,677.35	$5,223.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,950.84 / $3,874.72 / $4,733.74	Professional		$2,950.84	$3,874.72	$4,733.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,033.92 / $3,358.23 / $5,440.68	Facility		$2,033.92	$3,358.23	$5,440.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,962.13 / $3,361.02 / $5,436.18	Professional		$2,962.13	$3,361.02	$5,436.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,627.34 / $3,594.65 / $3,753.34	Facility		$2,627.34	$3,594.65	$3,753.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,111.26 / $3,817.97 / $5,440.68	Facility		$2,111.26	$3,817.97	$5,440.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,145.17 / $4,012.15 / $5,244.00	Professional		$3,145.17	$4,012.15	$5,244.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,731.54 / $9,731.54 / $9,731.54	Facility		$9,731.54	$9,731.54	$9,731.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,394.35 / $4,319.29 / $5,229.25	Professional		$3,394.35	$4,319.29	$5,229.25
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 $2,764.71 / $3,794.71 / $5,760.31	Professional		$2,764.71	$3,794.71	$5,760.31