Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,831.27 / $4,831.27 / $8,430.34	Facility		$4,831.27	$4,831.27	$8,430.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.37 / $1,647.31 / $1,879.87	Professional		$1,395.37	$1,647.31	$1,879.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,149.28 / $3,149.28 / $5,630.90	Facility		$3,149.28	$3,149.28	$5,630.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $4,254.91 / $5,098.79	Professional		$1,938.01	$4,254.91	$5,098.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,453.51 / $1,879.87 / $4,263.62	Facility		$1,453.51	$1,879.87	$4,263.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.01 / $1,938.01 / $2,616.31	Professional		$1,938.01	$1,938.01	$2,616.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,938.01 / $2,170.57 / $3,391.52	Facility		$1,938.01	$2,170.57	$3,391.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,879.87 / $2,567.86 / $4,900.32	Facility		$1,879.87	$2,567.86	$4,900.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,131.81 / $2,131.81 / $2,752.94	Professional		$2,131.81	$2,131.81	$2,752.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,779.12 / $5,897.36 / $7,608.05	Facility		$3,779.12	$5,897.36	$7,608.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,096.84 / $3,649.53 / $6,095.31	Professional		$3,096.84	$3,649.53	$6,095.31
United Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $813.96 / $2,034.91	Professional		$813.96	$813.96	$2,034.91