Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,099.33 / $7,920.26	Facility		$2,747.00	$4,099.33	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.18 / $2,204.71 / $8,553.50	Professional		$1,519.18	$2,204.71	$8,553.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,319.38 / $3,742.20 / $5,126.35	Professional		$2,319.38	$3,742.20	$5,126.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,671.98 / $3,840.62 / $4,324.14	Professional		$2,671.98	$3,840.62	$4,324.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,190.67 / $3,294.24 / $4,740.13	Facility		$2,190.67	$3,294.24	$4,740.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,580.60 / $2,965.04 / $5,557.34	Professional		$2,580.60	$2,965.04	$5,557.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,197.69 / $3,039.12 / $3,492.71	Facility		$2,197.69	$3,039.12	$3,492.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,204.71 / $3,674.15 / $4,705.75	Facility		$2,204.71	$3,674.15	$4,705.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,955.63 / $3,983.76 / $5,126.35	Professional		$2,955.63	$3,983.76	$5,126.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,187.69 / $8,187.69 / $8,187.69	Facility		$8,187.69	$8,187.69	$8,187.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,177.25 / $4,277.27 / $5,468.44	Professional		$3,177.25	$4,277.27	$5,468.44
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 $2,611.31 / $3,658.30 / $5,444.96	Professional		$2,611.31	$3,658.30	$5,444.96