Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,265.27 / $6,265.27 / $6,265.27	Facility		$6,265.27	$6,265.27	$6,265.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,809.54 / $2,136.26 / $2,437.85	Professional		$1,809.54	$2,136.26	$2,437.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,043.75 / $8,043.75 / $8,043.75	Facility		$8,043.75	$8,043.75	$8,043.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,950.00 / $8,777.18 / $14,175.15	Professional		$4,950.00	$8,777.18	$14,175.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,261.92 / $3,663.00 / $6,682.50	Facility		$2,261.92	$3,663.00	$6,682.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,940.00 / $6,682.50 / $6,930.00	Professional		$5,940.00	$6,682.50	$6,930.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,950.00 / $5,445.00 / $8,662.50	Facility		$4,950.00	$5,445.00	$8,662.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,362.46 / $3,179.26 / $7,128.00	Facility		$2,362.46	$3,179.26	$7,128.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,764.58 / $2,764.58 / $4,455.00	Professional		$2,764.58	$2,764.58	$4,455.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,700.00 / $4,700.00 / $8,225.00	Facility		$4,700.00	$4,700.00	$8,225.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,621.28 / $8,325.99 / $15,598.63	Professional		$4,621.28	$8,325.99	$15,598.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $1,055.57 / $5,197.50	Professional		$1,055.57	$1,055.57	$5,197.50