Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,232.14 / $2,747.00 / $7,920.26	Facility		$2,232.14	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.40 / $1,533.61 / $4,110.45	Professional		$1,010.40	$1,533.61	$4,110.45
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 $1,134.01 / $2,142.60 / $3,151.90	Professional		$1,134.01	$2,142.60	$3,151.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,784.30 / $2,342.94 / $2,866.43	Professional		$1,784.30	$2,342.94	$2,866.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.86 / $2,011.40 / $3,091.50	Facility		$1,219.86	$2,011.40	$3,091.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.38 / $2,004.00 / $3,349.74	Professional		$1,702.38	$2,004.00	$3,349.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,586.62 / $2,156.06 / $2,284.69	Facility		$1,586.62	$2,156.06	$2,284.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,280.85 / $2,275.67 / $3,091.50	Facility		$1,280.85	$2,275.67	$3,091.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,889.95 / $2,460.65 / $3,222.95	Professional		$1,889.95	$2,460.65	$3,222.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.92 / $5,745.92 / $5,745.92	Facility		$5,745.92	$5,745.92	$5,745.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,088.02 / $2,661.51 / $3,216.76	Professional		$2,088.02	$2,661.51	$3,216.76
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 $1,621.90 / $2,317.01 / $3,543.45	Professional		$1,621.90	$2,317.01	$3,543.45