Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,677.35 / $7,943.28	Facility		$2,454.71	$4,677.35	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $5,248.07	Professional		$1,698.24	$2,238.72	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $5,128.61	Professional		$1,905.46	$3,311.31	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,890.45 / $4,570.88	Professional		$2,951.21	$3,890.45	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,466.84	Facility		$1,862.09	$2,818.38	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,467.37 / $4,897.79	Professional		$2,884.03	$3,467.37	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $3,890.45	Facility		$2,818.38	$3,630.78	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,168.69	Facility		$1,862.09	$2,818.38	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $3,630.78 / $5,128.61	Professional		$79.43	$3,630.78	$5,128.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $5,754.40	Professional		$3,388.44	$3,981.07	$5,754.40
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 $2,511.89 / $3,715.35 / $5,128.61	Professional		$2,511.89	$3,715.35	$5,128.61