Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.71 / $2,747.00 / $7,920.26	Facility		$1,910.71	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.52 / $1,290.17 / $4,993.89	Professional		$882.52	$1,290.17	$4,993.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.45 / $2,179.51 / $2,990.46	Professional		$1,356.45	$2,179.51	$2,990.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,563.85 / $2,253.21 / $2,536.89	Professional		$1,563.85	$2,253.21	$2,536.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,290.17 / $1,968.22 / $2,773.87	Facility		$1,290.17	$1,968.22	$2,773.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.64 / $1,748.76 / $3,244.44	Professional		$1,511.64	$1,748.76	$3,244.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,217.65 / $1,872.64 / $2,037.47	Facility		$1,217.65	$1,872.64	$2,037.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,290.17 / $2,150.07 / $2,750.88	Facility		$1,290.17	$2,150.07	$2,750.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,728.55 / $2,328.34 / $2,990.46	Professional		$1,728.55	$2,328.34	$2,990.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,204.70 / $5,204.70 / $5,204.70	Facility		$5,204.70	$5,204.70	$5,204.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,851.85 / $2,495.14 / $3,190.01	Professional		$1,851.85	$2,495.14	$3,190.01
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 $1,532.59 / $2,344.60 / $3,203.39	Professional		$1,532.59	$2,344.60	$3,203.39