Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,308.44 / $2,824.48 / $7,920.26	Facility		$2,308.44	$2,824.48	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.06 / $1,499.69 / $3,627.52	Professional		$1,133.06	$1,499.69	$3,627.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.37 / $2,483.85 / $3,377.91	Professional		$1,602.37	$2,483.85	$3,377.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,842.27 / $2,621.28 / $2,951.30	Professional		$1,842.27	$2,621.28	$2,951.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,499.69 / $2,338.77 / $3,224.33	Facility		$1,499.69	$2,338.77	$3,224.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.25 / $2,074.15 / $3,666.71	Professional		$1,771.25	$2,074.15	$3,666.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,622.11 / $2,173.94 / $2,301.44	Facility		$1,622.11	$2,173.94	$2,301.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,499.69 / $2,537.30 / $3,105.39	Facility		$1,499.69	$2,537.30	$3,105.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,036.62 / $2,654.31 / $3,377.91	Professional		$2,036.62	$2,654.31	$3,377.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,912.75 / $5,912.75 / $5,912.75	Facility		$5,912.75	$5,912.75	$5,912.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,088.64 / $2,818.42 / $3,603.32	Professional		$2,088.64	$2,818.42	$3,603.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,714.11 / $2,482.10 / $3,613.00	Professional		$1,714.11	$2,482.10	$3,613.00