Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,424.22 / $7,920.26	Facility		$2,747.00	$5,424.22	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,285.58 / $3,281.74 / $12,792.90	Professional		$2,285.58	$3,281.74	$12,792.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,480.32 / $5,580.18 / $7,634.96	Professional		$3,480.32	$5,580.18	$7,634.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,969.32 / $5,694.72 / $6,411.68	Professional		$3,969.32	$5,694.72	$6,411.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,281.74 / $5,117.87 / $7,074.36	Facility		$3,281.74	$5,117.87	$7,074.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,874.98 / $4,477.20 / $8,271.27	Professional		$3,874.98	$4,477.20	$8,271.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,410.10 / $4,651.81 / $5,201.88	Facility		$3,410.10	$4,651.81	$5,201.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,281.74 / $5,469.02 / $7,055.74	Facility		$3,281.74	$5,469.02	$7,055.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,419.80 / $5,921.45 / $7,634.96	Professional		$4,419.80	$5,921.45	$7,634.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,447.41 / $13,447.41 / $13,447.41	Facility		$13,447.41	$13,447.41	$13,447.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,734.51 / $6,370.36 / $8,144.44	Professional		$4,734.51	$6,370.36	$8,144.44
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 $3,918.28 / $5,503.99 / $8,189.90	Professional		$3,918.28	$5,503.99	$8,189.90