Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $3,746.51 / $7,920.26	Facility		$2,747.00	$3,746.51	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,422.94 / $1,735.49 / $7,751.67	Professional		$1,422.94	$1,735.49	$7,751.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,083.94 / $3,310.86 / $4,510.76	Professional		$2,083.94	$3,310.86	$4,510.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,432.10 / $3,484.97 / $3,923.73	Professional		$2,432.10	$3,484.97	$3,923.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,735.49 / $2,892.19 / $4,004.15	Facility		$1,735.49	$2,892.19	$4,004.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.67 / $2,600.50 / $4,874.08	Professional		$2,257.67	$2,600.50	$4,874.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,072.21 / $2,823.08 / $3,073.29	Facility		$2,072.21	$2,823.08	$3,073.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,735.49 / $3,195.72 / $3,890.63	Facility		$1,735.49	$3,195.72	$3,890.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,615.28 / $3,508.44 / $4,509.97	Professional		$2,615.28	$3,508.44	$4,509.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,696.14 / $7,696.14 / $7,696.14	Facility		$7,696.14	$7,696.14	$7,696.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,788.54 / $3,763.63 / $4,811.76	Professional		$2,788.54	$3,763.63	$4,811.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,540.00 / $51,981.00	Facility		$3,340.00	$25,540.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,270.53 / $3,175.50 / $4,823.72	Professional		$2,270.53	$3,175.50	$4,823.72