Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $7,943.28	Facility		$1,445.44	$2,754.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,754.23	Professional		$1,096.48	$1,380.38	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,311.31	Professional		$1,202.26	$2,344.23	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Professional		$1,584.89	$2,089.30	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,951.21	Facility		$1,318.26	$1,862.09	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $2,884.03	Professional		$1,621.81	$1,949.84	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,187.76	Facility		$1,698.24	$2,137.96	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,630.27	Facility		$1,174.90	$1,584.89	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,089.30 / $2,951.21	Professional		$79.43	$2,089.30	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $2,951.21	Professional		$1,995.26	$2,344.23	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $3,090.30	Professional		$1,445.44	$2,187.76	$3,090.30