Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,278.27 / $7,278.27 / $12,700.30	Facility		$7,278.27	$7,278.27	$12,700.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.11 / $2,481.66 / $2,832.01	Professional		$2,102.11	$2,481.66	$2,832.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,744.35 / $4,744.35 / $8,482.90	Facility		$4,744.35	$4,744.35	$8,482.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $2,335.67 / $2,335.67	Professional		$2,335.67	$2,335.67	$2,335.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $6,410.41 / $7,681.79	Professional		$2,919.60	$6,410.41	$7,681.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $2,832.01 / $6,423.12	Facility		$2,189.69	$2,832.01	$6,423.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $3,941.46	Professional		$2,919.60	$2,919.60	$3,941.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,269.95 / $5,109.30	Facility		$2,919.60	$3,269.95	$5,109.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,832.01 / $3,868.47 / $7,110.61	Facility		$2,832.01	$3,868.47	$7,110.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,211.56 / $3,211.56 / $4,147.29	Professional		$3,211.56	$3,211.56	$4,147.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,839.20 / $8,884.34 / $11,462.06	Facility		$5,839.20	$8,884.34	$11,462.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,665.56 / $5,741.38 / $9,182.93	Professional		$4,665.56	$5,741.38	$9,182.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $3,065.58	Professional		$1,226.23	$1,226.23	$3,065.58