Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,652.21 / $3,331.12 / $7,920.26	Facility		$2,652.21	$3,331.12	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.84 / $1,687.37 / $4,278.20	Professional		$1,074.84	$1,687.37	$4,278.20
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 $1,486.16 / $2,534.03 / $4,156.74	Professional		$1,486.16	$2,534.03	$4,156.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,507.17 / $2,941.36 / $3,523.21	Professional		$2,507.17	$2,941.36	$3,523.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,700.72 / $2,390.31 / $3,272.50	Facility		$1,700.72	$2,390.31	$3,272.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.58 / $2,406.34 / $3,712.64	Professional		$2,062.58	$2,406.34	$3,712.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,707.16 / $2,468.94 / $2,832.09	Facility		$1,707.16	$2,468.94	$2,832.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,700.72 / $2,436.65 / $3,592.01	Facility		$1,700.72	$2,436.65	$3,592.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,209.67 / $2,798.20 / $3,851.12	Professional		$2,209.67	$2,798.20	$3,851.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,053.76 / $7,053.76 / $7,053.76	Facility		$7,053.76	$7,053.76	$7,053.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,573.90 / $3,299.17 / $4,434.12	Professional		$2,573.90	$3,299.17	$4,434.12
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 $1,841.40 / $2,744.13 / $4,342.77	Professional		$1,841.40	$2,744.13	$4,342.77