Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,390.10 / $2,951.09 / $7,920.26	Facility		$2,390.10	$2,951.09	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.11 / $1,552.29 / $6,294.92	Professional		$1,229.11	$1,552.29	$6,294.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,656.65 / $2,590.23 / $3,548.03	Professional		$1,656.65	$2,590.23	$3,548.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,890.93 / $2,690.09 / $3,028.77	Professional		$1,890.93	$2,690.09	$3,028.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,552.29 / $2,420.80 / $3,337.42	Facility		$1,552.29	$2,420.80	$3,337.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,830.27 / $2,143.05 / $3,764.29	Professional		$1,830.27	$2,143.05	$3,764.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,681.70 / $2,250.94 / $2,417.36	Facility		$1,681.70	$2,250.94	$2,417.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,552.29 / $2,608.94 / $3,214.61	Facility		$1,552.29	$2,608.94	$3,214.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,111.10 / $2,751.33 / $3,530.79	Professional		$2,111.10	$2,751.33	$3,530.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.19 / $6,145.19 / $6,145.19	Facility		$6,145.19	$6,145.19	$6,145.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,183.36 / $2,960.36 / $3,783.59	Professional		$2,183.36	$2,960.36	$3,783.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,806.95 / $2,564.81 / $3,776.85	Professional		$1,806.95	$2,564.81	$3,776.85