Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $21,877.62	Facility		$2,238.72	$2,884.03	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,884.03	Professional		$1,000.00	$1,230.27	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $3,467.37	Professional		$1,174.90	$2,454.71	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,754.23	Professional		$1,584.89	$2,089.30	$2,754.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $3,890.45	Facility		$1,122.02	$1,905.46	$3,890.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,884.03	Professional		$1,659.59	$1,949.84	$2,884.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,238.72	Facility		$1,698.24	$2,137.96	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $2,754.23	Facility		$1,148.15	$1,659.59	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,137.96 / $3,019.95	Professional		$79.43	$2,137.96	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,019.95	Professional		$2,089.30	$2,454.71	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,019.95	Professional		$1,412.54	$2,187.76	$3,019.95