Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,486.80 / $7,920.26	Facility		$2,747.00	$4,486.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.24 / $2,412.04 / $9,363.84	Professional		$1,525.24	$2,412.04	$9,363.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,541.44 / $4,096.99 / $5,613.13	Professional		$2,541.44	$4,096.99	$5,613.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,922.36 / $4,199.13 / $4,727.79	Professional		$2,922.36	$4,199.13	$4,727.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,412.04 / $3,698.32 / $5,185.89	Facility		$2,412.04	$3,698.32	$5,185.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,826.93 / $3,254.55 / $6,079.32	Professional		$2,826.93	$3,254.55	$6,079.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,568.08 / $3,467.10 / $3,824.36	Facility		$2,568.08	$3,467.10	$3,824.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,412.04 / $4,019.66 / $5,155.59	Facility		$2,412.04	$4,019.66	$5,155.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,238.59 / $4,381.32 / $5,613.13	Professional		$3,238.59	$4,381.32	$5,613.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,736.85 / $9,736.85 / $9,736.85	Facility		$9,736.85	$9,736.85	$9,736.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,479.22 / $4,683.41 / $5,987.69	Professional		$3,479.22	$4,683.41	$5,987.69
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 $2,805.92 / $4,220.29 / $6,018.48	Professional		$2,805.92	$4,220.29	$6,018.48