Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,390.21 / $7,920.26	Facility		$2,747.00	$4,390.21	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.56 / $2,050.23 / $9,273.41	Professional		$1,708.56	$2,050.23	$9,273.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.98 / $3,996.88 / $5,431.20	Professional		$2,270.98	$3,996.88	$5,431.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,837.68 / $4,047.76 / $4,557.37	Professional		$2,837.68	$4,047.76	$4,557.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,050.23 / $3,416.72 / $4,833.47	Facility		$2,050.23	$3,416.72	$4,833.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,761.96 / $3,116.75 / $5,841.68	Professional		$2,761.96	$3,116.75	$5,841.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,490.67 / $3,368.99 / $3,700.41	Facility		$2,490.67	$3,368.99	$3,700.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,050.23 / $3,866.94 / $4,713.54	Facility		$2,050.23	$3,866.94	$4,713.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,051.84 / $4,235.39 / $5,416.42	Professional		$3,051.84	$4,235.39	$5,416.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,318.04 / $9,318.04 / $9,318.04	Facility		$9,318.04	$9,318.04	$9,318.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,378.36 / $4,531.62 / $5,793.63	Professional		$3,378.36	$4,531.62	$5,793.63
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 $2,752.36 / $3,705.10 / $5,789.61	Professional		$2,752.36	$3,705.10	$5,789.61