Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,367.50 / $2,895.12 / $7,920.26	Facility		$2,367.50	$2,895.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.38 / $1,537.81 / $6,229.48	Professional		$1,192.38	$1,537.81	$6,229.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,639.86 / $2,546.98 / $3,462.48	Professional		$1,639.86	$2,546.98	$3,462.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,888.74 / $2,687.00 / $3,025.29	Professional		$1,888.74	$2,687.00	$3,025.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,537.81 / $2,398.21 / $3,306.29	Facility		$1,537.81	$2,398.21	$3,306.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,803.39 / $2,121.64 / $3,760.06	Professional		$1,803.39	$2,121.64	$3,760.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,669.92 / $2,243.38 / $2,398.60	Facility		$1,669.92	$2,243.38	$2,398.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.81 / $2,610.65 / $3,286.81	Facility		$1,537.81	$2,610.65	$3,286.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,087.94 / $2,718.99 / $3,462.48	Professional		$2,087.94	$2,718.99	$3,462.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,047.60 / $6,047.60 / $6,047.60	Facility		$6,047.60	$6,047.60	$6,047.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,142.15 / $2,888.98 / $3,693.53	Professional		$2,142.15	$2,888.98	$3,693.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $8,571.00 / $36,803.00	Facility		$2,364.00	$8,571.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,772.84 / $2,527.16 / $3,705.56	Professional		$1,772.84	$2,527.16	$3,705.56