Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,831.64 / $3,831.64 / $6,686.04	Facility		$3,831.64	$3,831.64	$6,686.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.65 / $1,306.47 / $1,490.91	Professional		$1,106.65	$1,306.47	$1,490.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,497.65 / $2,497.65 / $4,465.80	Facility		$2,497.65	$2,497.65	$4,465.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $3,374.95 / $4,044.31	Professional		$1,537.02	$3,374.95	$4,044.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,152.77 / $1,490.91 / $3,381.44	Facility		$1,152.77	$1,490.91	$3,381.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,537.02 / $1,537.02 / $2,074.98	Professional		$1,537.02	$1,537.02	$2,074.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $1,613.87 / $2,151.83	Facility		$1,537.02	$1,613.87	$2,151.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,383.32 / $1,844.42 / $3,918.43	Facility		$1,383.32	$1,844.42	$3,918.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,690.72 / $1,690.72 / $2,151.83	Professional		$1,690.72	$1,690.72	$2,151.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,074.04 / $4,976.87 / $6,033.88	Facility		$3,074.04	$4,976.87	$6,033.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,456.23 / $3,022.10 / $4,834.47	Professional		$2,456.23	$3,022.10	$4,834.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,844.42 / $1,844.42 / $1,844.42	Facility		$1,844.42	$1,844.42	$1,844.42
United Facility/Professional Professional Modifier Low / Median / High Price $645.54 / $645.54 / $1,844.42	Professional		$645.54	$645.54	$1,844.42