Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $3,795.48 / $8,174.88	Facility		$3,300.00	$3,795.48	$8,174.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $2,832.01 / $4,233.42	Professional		$719.07	$2,832.01	$4,233.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,744.35 / $4,744.35 / $8,482.90	Facility		$4,744.35	$4,744.35	$8,482.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.97 / $3,220.31 / $5,237.77	Professional		$1,707.97	$3,220.31	$5,237.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $7,119.71 / $7,681.79	Professional		$2,919.60	$7,119.71	$7,681.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $2,919.60 / $6,088.82	Facility		$1,880.00	$2,919.60	$6,088.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $3,941.46	Professional		$2,919.60	$2,919.60	$3,941.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $3,211.56 / $6,445.02	Facility		$2,919.60	$3,211.56	$6,445.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $3,503.52 / $6,160.36	Facility		$1,880.00	$3,503.52	$6,160.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,357.54 / $4,204.22	Professional		$2,919.60	$3,357.54	$4,204.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,693.22 / $8,884.34 / $11,462.06	Facility		$5,693.22	$8,884.34	$11,462.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $5,428.08 / $8,163.66	Professional		$3,000.00	$5,428.08	$8,163.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $3,503.52	Professional		$1,226.23	$1,226.23	$3,503.52