Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.42 / $2,747.00 / $7,920.26	Facility		$1,561.42	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.29 / $1,016.68 / $4,110.49	Professional		$786.29	$1,016.68	$4,110.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.38 / $1,683.88 / $2,289.31	Professional		$1,080.38	$1,683.88	$2,289.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,250.51 / $1,783.65 / $2,008.21	Professional		$1,250.51	$1,783.65	$2,008.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.68 / $1,585.51 / $2,185.86	Facility		$1,016.68	$1,585.51	$2,185.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,397.48 / $2,487.98	Professional		$1,147.50	$1,397.48	$2,487.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,092.55 / $1,464.58 / $1,559.76	Facility		$1,092.55	$1,464.58	$1,559.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,016.68 / $1,696.97 / $2,185.86	Facility		$1,016.68	$1,696.97	$2,185.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,376.75 / $1,784.36 / $2,288.80	Professional		$1,376.75	$1,784.36	$2,288.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,952.22 / $13,050.49	Facility		$6,909.34	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,415.19 / $1,910.12 / $2,442.07	Professional		$1,415.19	$1,910.12	$2,442.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.61 / $1,949.69 / $2,425.23	Professional		$1,194.61	$1,949.69	$2,425.23