Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,554.47 / $1,902.25 / $2,504.02	Facility		$1,554.47	$1,902.25	$2,504.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.32 / $1,315.71 / $3,650.00	Professional		$559.32	$1,315.71	$3,650.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $1,846.09 / $2,679.45	Professional		$990.00	$1,846.09	$2,679.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,453.16 / $1,914.50 / $2,416.17	Professional		$1,453.16	$1,914.50	$2,416.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.75 / $1,427.61 / $2,213.01	Facility		$831.75	$1,427.61	$2,213.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.80 / $1,657.19 / $3,055.02	Professional		$1,081.80	$1,657.19	$3,055.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $967.21 / $1,583.21 / $2,064.48	Facility		$967.21	$1,583.21	$2,064.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.75 / $1,530.09 / $2,646.38	Facility		$831.75	$1,530.09	$2,646.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,267.11 / $1,989.18 / $2,679.45	Professional		$1,267.11	$1,989.18	$2,679.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,542.21 / $2,062.40 / $2,923.99	Professional		$1,542.21	$2,062.40	$2,923.99
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 $1,251.13 / $1,776.84 / $3,283.19	Professional		$1,251.13	$1,776.84	$3,283.19