Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,548.13 / $7,943.28	Facility		$1,445.44	$3,548.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $3,467.37	Professional		$954.99	$1,258.93	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $4,073.80	Professional		$1,380.38	$2,290.87	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $3,090.30	Professional		$1,318.26	$2,630.27	$3,090.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $7,943.28	Facility		$1,047.13	$2,041.74	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $3,467.37	Professional		$2,238.72	$2,691.53	$3,467.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $2,951.21	Facility		$1,949.84	$2,691.53	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,630.27	Facility		$1,148.15	$1,737.80	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,290.87 / $3,715.35	Professional		$79.43	$2,290.87	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,801.89	Professional		$1,548.82	$2,398.83	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,311.31	Professional		$1,445.44	$2,089.30	$3,311.31