Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,488.42 / $5,488.42 / $9,577.04	Facility		$5,488.42	$5,488.42	$9,577.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,585.17 / $2,135.57 / $2,135.57	Professional		$1,585.17	$2,135.57	$2,135.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,577.63 / $5,509.54 / $6,396.79	Facility		$3,577.63	$5,509.54	$6,396.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,200.94 / $2,529.63 / $3,162.03	Professional		$2,200.94	$2,529.63	$3,162.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,201.62 / $5,368.57 / $5,792.42	Professional		$2,201.62	$5,368.57	$5,792.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,629.20 / $2,349.13 / $4,591.47	Facility		$1,629.20	$2,349.13	$4,591.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,201.62 / $2,201.62 / $2,972.19	Professional		$2,201.62	$2,201.62	$2,972.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,201.62 / $2,311.69 / $3,082.27	Facility		$2,201.62	$2,311.69	$3,082.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,475.09 / $2,355.73 / $5,509.54	Facility		$1,475.09	$2,355.73	$5,509.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,091.54 / $2,421.78 / $3,082.27	Professional		$2,091.54	$2,421.78	$3,082.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,852.84 / $7,705.67 / $8,643.34	Facility		$3,852.84	$7,705.67	$8,643.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,507.50 / $2,428.26 / $5,426.79	Professional		$1,507.50	$2,428.26	$5,426.79
United Facility/Professional Professional Modifier Low / Median / High Price $924.68 / $924.68 / $2,641.94	Professional		$924.68	$924.68	$2,641.94