Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.82 / $2,747.00 / $7,920.26	Facility		$1,635.82	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.29 / $950.34 / $4,262.68	Professional		$805.29	$950.34	$4,262.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.69 / $1,790.87 / $2,419.11	Professional		$1,079.69	$1,790.87	$2,419.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,297.84 / $1,854.81 / $2,088.33	Professional		$1,297.84	$1,854.81	$2,088.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.34 / $1,583.74 / $2,237.17	Facility		$950.34	$1,583.74	$2,237.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.67 / $1,420.13 / $2,603.60	Professional		$1,242.67	$1,420.13	$2,603.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.96 / $1,508.80 / $1,648.20	Facility		$1,110.96	$1,508.80	$1,648.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.34 / $1,763.93 / $2,104.06	Facility		$950.34	$1,763.93	$2,104.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,387.93 / $1,897.74 / $2,426.92	Professional		$1,387.93	$1,897.74	$2,426.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,118.70 / $4,118.70 / $4,118.70	Facility		$4,118.70	$4,118.70	$4,118.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,508.05 / $2,018.43 / $2,580.54	Professional		$1,508.05	$2,018.43	$2,580.54
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 $1,202.58 / $1,741.38 / $2,608.67	Professional		$1,202.58	$1,741.38	$2,608.67