Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,686.20 / $7,920.26	Facility		$2,747.00	$3,686.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.22 / $2,127.46 / $7,944.94	Professional		$1,540.22	$2,127.46	$7,944.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,090.57 / $3,244.76 / $4,409.47	Professional		$2,090.57	$3,244.76	$4,409.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,404.21 / $3,417.46 / $3,847.71	Professional		$2,404.21	$3,417.46	$3,847.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,127.46 / $3,195.08 / $4,574.04	Facility		$2,127.46	$3,195.08	$4,574.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,301.94 / $2,708.16 / $4,787.06	Professional		$2,301.94	$2,708.16	$4,787.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,113.86 / $2,863.66 / $3,004.28	Facility		$2,113.86	$2,863.66	$3,004.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,127.46 / $3,329.10 / $4,191.12	Facility		$2,127.46	$3,329.10	$4,191.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,660.95 / $3,468.46 / $4,409.47	Professional		$2,660.95	$3,468.46	$4,409.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,655.35 / $7,655.35 / $7,655.35	Facility		$7,655.35	$7,655.35	$7,655.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,728.28 / $3,679.12 / $4,703.72	Professional		$2,728.28	$3,679.12	$4,703.72
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 $2,257.92 / $3,564.28 / $4,719.47	Professional		$2,257.92	$3,564.28	$4,719.47