Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $7,943.28	Facility		$2,290.87	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,884.03	Professional		$1,148.15	$1,412.54	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,467.37	Professional		$1,258.93	$2,454.71	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,884.03	Professional		$1,659.59	$2,187.76	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,981.07	Facility		$1,380.38	$1,949.84	$3,981.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,019.95	Professional		$1,698.24	$2,089.30	$3,019.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,290.87	Facility		$1,778.28	$2,238.72	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,754.23	Facility		$1,230.27	$1,698.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,187.76 / $3,090.30	Professional		$79.43	$2,187.76	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,090.30	Professional		$2,089.30	$2,454.71	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,162.28	Professional		$1,479.11	$2,238.72	$3,162.28