Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,863.57 / $6,863.57 / $11,976.60	Facility		$6,863.57	$6,863.57	$11,976.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $5,368.84	Professional		$455.43	$455.43	$5,368.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,474.03 / $4,474.03 / $7,999.56	Facility		$4,474.03	$4,474.03	$7,999.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $6,045.36 / $7,244.35	Professional		$2,753.25	$6,045.36	$7,244.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,064.94 / $2,670.65 / $6,057.15	Facility		$2,064.94	$2,670.65	$6,057.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.25 / $2,753.25 / $3,716.89	Professional		$2,753.25	$2,753.25	$3,716.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,753.25 / $3,083.64 / $4,818.18	Facility		$2,753.25	$3,083.64	$4,818.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,670.65 / $3,648.06 / $6,962.04	Facility		$2,670.65	$3,648.06	$6,962.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,028.58 / $3,028.58 / $3,854.55	Professional		$3,028.58	$3,028.58	$3,854.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,368.84 / $8,378.14 / $10,808.43	Facility		$5,368.84	$8,378.14	$10,808.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,399.68 / $5,185.18 / $8,659.62	Professional		$4,399.68	$5,185.18	$8,659.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,156.36 / $1,156.36 / $2,890.91	Professional		$1,156.36	$1,156.36	$2,890.91