Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $7,943.28	Facility		$1,584.89	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $3,090.30	Professional		$1,230.27	$1,513.56	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $3,715.35	Professional		$1,348.96	$2,630.27	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,090.30	Professional		$1,778.28	$2,290.87	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,467.37	Facility		$1,445.44	$2,089.30	$3,467.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,235.94	Professional		$1,819.70	$2,187.76	$3,235.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,454.71	Facility		$1,862.09	$2,398.83	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,019.95	Facility		$1,318.26	$1,778.28	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $3,311.31	Professional		$79.43	$2,344.23	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,311.31	Professional		$2,238.72	$2,630.27	$3,311.31
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 $1,548.82 / $2,398.83 / $3,388.44	Professional		$1,548.82	$2,398.83	$3,388.44