Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $13,182.57	Facility		$2,344.23	$2,951.21	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $3,162.28	Professional		$1,047.13	$1,380.38	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,548.13	Professional		$1,288.25	$2,511.89	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,884.03	Professional		$1,659.59	$2,137.96	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $4,073.80	Facility		$1,288.25	$1,862.09	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,090.30	Professional		$1,698.24	$2,089.30	$3,090.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,398.83	Facility		$1,737.80	$2,290.87	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,884.03	Facility		$1,230.27	$1,659.59	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $3,162.28	Professional		$79.43	$2,238.72	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $15,488.17 / $19,054.61	Facility		$9,120.11	$15,488.17	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,235.94	Professional		$2,187.76	$2,570.40	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $21,877.62	Facility		$1,995.26	$10,232.93	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,311.31	Professional		$1,548.82	$2,238.72	$3,311.31