Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.08 / $2,747.00 / $7,920.26	Facility		$1,672.08	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.75 / $1,130.79 / $4,369.25	Professional		$767.75	$1,130.79	$4,369.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.27 / $1,906.43 / $2,615.79	Professional		$1,184.27	$1,906.43	$2,615.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,371.71 / $1,979.38 / $2,228.58	Professional		$1,371.71	$1,979.38	$2,228.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.33 / $1,719.65 / $2,431.19	Facility		$1,126.33	$1,719.65	$2,431.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,320.39 / $1,515.92 / $2,841.27	Professional		$1,320.39	$1,515.92	$2,841.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,160.81 / $1,609.40 / $1,782.20	Facility		$1,160.81	$1,609.40	$1,782.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,130.79 / $1,884.46 / $2,400.08	Facility		$1,130.79	$1,884.46	$2,400.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,506.88 / $2,030.10 / $2,615.79	Professional		$1,506.88	$2,030.10	$2,615.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,203.85 / $4,203.85 / $4,203.85	Facility		$4,203.85	$4,203.85	$4,203.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.22 / $2,182.53 / $2,790.34	Professional		$1,621.22	$2,182.53	$2,790.34
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 $1,274.49 / $1,852.56 / $2,804.45	Professional		$1,274.49	$1,852.56	$2,804.45