Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $9,549.93 / $9,549.93	Facility		$2,041.74	$9,549.93	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Professional		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,165.95	Facility		$3,467.37	$3,467.37	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,570.88 / $5,623.41	Professional		$2,137.96	$4,570.88	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $2,951.21	Professional		$2,041.74	$2,344.23	$2,951.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,951.21	Facility		$2,137.96	$2,137.96	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $5,623.41	Facility		$1,584.89	$2,884.03	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,344.23 / $2,951.21	Professional		$79.43	$2,344.23	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,309.57 / $8,317.64	Facility		$3,162.28	$6,309.57	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $2,570.40	Professional		$1,698.24	$1,819.70	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $2,570.40	Professional		$891.25	$891.25	$2,570.40