Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $13,803.84	Facility		$5,623.41	$7,079.46	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,585.78	Professional		$2,511.89	$3,162.28	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,011.87 / $7,762.47	Professional		$2,884.03	$5,011.87	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $6,606.93	Professional		$3,801.89	$5,128.61	$6,606.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $7,079.46	Facility		$2,754.23	$4,365.16	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $7,244.36	Professional		$4,073.80	$4,897.79	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $5,623.41	Facility		$4,466.84	$5,248.07	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $6,456.54	Facility		$2,818.38	$4,365.16	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,248.07 / $7,413.10	Professional		$79.43	$5,248.07	$7,413.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $14,791.08 / $21,877.62	Facility		$5,623.41	$14,791.08	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $8,128.31	Professional		$4,786.30	$5,754.40	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $7,585.78	Professional		$3,467.37	$5,370.32	$7,585.78