Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.05 / $2,747.00 / $7,920.26	Facility		$1,458.05	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.38 / $977.26 / $3,847.90	Professional		$745.38	$977.26	$3,847.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.57 / $1,582.76 / $2,061.16	Professional		$968.57	$1,582.76	$2,061.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.90 / $1,608.67 / $1,811.20	Professional		$1,125.90	$1,608.67	$1,811.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $951.75 / $1,484.25 / $2,046.26	Facility		$951.75	$1,484.25	$2,046.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,126.14 / $1,263.90 / $2,238.63	Professional		$1,126.14	$1,263.90	$2,238.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $968.73 / $1,314.69 / $1,425.09	Facility		$968.73	$1,314.69	$1,425.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $951.75 / $1,586.09 / $1,869.71	Facility		$951.75	$1,586.09	$1,869.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,234.26 / $1,666.32 / $2,071.06	Professional		$1,234.26	$1,666.32	$2,071.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,573.92 / $3,573.92 / $3,573.92	Facility		$3,573.92	$3,573.92	$3,573.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,271.27 / $1,719.77 / $2,198.69	Professional		$1,271.27	$1,719.77	$2,198.69
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 $1,106.05 / $1,487.21 / $2,199.08	Professional		$1,106.05	$1,487.21	$2,199.08