Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,233.67 / $2,971.57 / $7,920.26	Facility		$2,233.67	$2,971.57	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.49 / $1,509.84 / $3,114.13	Professional		$1,055.49	$1,509.84	$3,114.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,355.31 / $2,253.73 / $3,387.04	Professional		$1,355.31	$2,253.73	$3,387.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,240.09 / $2,624.74 / $3,147.89	Professional		$2,240.09	$2,624.74	$3,147.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,408.60 / $2,055.60 / $2,843.91	Facility		$1,408.60	$2,055.60	$2,843.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,810.50 / $2,127.60 / $3,308.28	Professional		$1,810.50	$2,127.60	$3,308.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,609.02 / $2,203.06 / $2,522.55	Facility		$1,609.02	$2,203.06	$2,522.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,434.35 / $2,129.14 / $2,951.01	Facility		$1,434.35	$2,129.14	$2,951.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,046.00 / $2,364.31 / $3,213.37	Professional		$2,046.00	$2,364.31	$3,213.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,855.95 / $5,855.95 / $5,855.95	Facility		$5,855.95	$5,855.95	$5,855.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,114.46 / $2,781.69 / $3,664.22	Professional		$2,114.46	$2,781.69	$3,664.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,641.78 / $2,320.50 / $3,561.76	Professional		$1,641.78	$2,320.50	$3,561.76