Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $16,982.44	Facility		$4,677.35	$5,754.40	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $6,918.31	Professional		$2,041.74	$3,090.30	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,585.78 / $10,964.78	Facility		$6,025.60	$7,585.78	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $6,760.83	Professional		$3,019.95	$4,168.69	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $8,128.31 / $9,772.37	Professional		$3,715.35	$8,128.31	$9,772.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $5,011.87	Facility		$3,630.78	$3,715.35	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $5,248.07	Professional		$3,467.37	$4,168.69	$5,248.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $7,079.46	Facility		$3,715.35	$3,715.35	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,248.07 / $10,964.78	Facility		$2,818.38	$5,248.07	$10,964.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $5,370.32	Professional		$3,388.44	$4,168.69	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,964.78 / $14,791.08	Facility		$5,623.41	$10,964.78	$14,791.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $4,466.84	Professional		$3,019.95	$3,162.28	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $6,025.60	Facility		$4,466.84	$4,466.84	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $4,466.84	Professional		$1,230.27	$1,584.89	$4,466.84