Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,630.27 / $7,943.28	Facility		$1,230.27	$2,630.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,630.27	Professional		$954.99	$1,230.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $3,235.94	Professional		$1,174.90	$2,238.72	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,570.40	Professional		$1,479.11	$1,949.84	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,630.27	Facility		$1,148.15	$1,584.89	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,754.23	Professional		$1,548.82	$1,862.09	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,137.96	Facility		$1,548.82	$1,995.26	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,570.40	Facility		$1,096.48	$1,479.11	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,041.74 / $2,818.38	Professional		$79.43	$2,041.74	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $21,379.62	Facility		$4,365.16	$10,715.19	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $2,884.03	Professional		$1,949.84	$2,290.87	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,748.98 / $26,302.68	Facility		$2,137.96	$11,748.98	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,951.21	Professional		$1,318.26	$2,041.74	$2,951.21