Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $7,943.28	Facility		$1,737.80	$2,818.38	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,090.30	Professional		$1,047.13	$1,288.25	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,041.74 / $3,019.95	Professional		$660.69	$2,041.74	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,691.53	Professional		$1,621.81	$2,238.72	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,691.53	Facility		$1,148.15	$1,584.89	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,818.38	Professional		$1,659.59	$2,041.74	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,344.23	Facility		$1,621.81	$2,238.72	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,691.53	Facility		$1,096.48	$1,584.89	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,090.30	Professional		$79.43	$2,238.72	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Facility		$5,888.44	$5,888.44	$5,888.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,162.28	Professional		$2,089.30	$2,454.71	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $3,235.94	Professional		$1,258.93	$2,238.72	$3,235.94