Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,257.44 / $5,516.26 / $5,516.26	Facility		$3,257.44	$5,516.26	$5,516.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,845.96 / $2,845.97 / $2,960.94	Professional		$2,845.96	$2,845.97	$2,960.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,829.10 / $5,829.10 / $5,829.10	Facility		$5,829.10	$5,829.10	$5,829.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,807.15 / $7,851.71 / $8,471.60	Professional		$6,807.15	$7,851.71	$8,471.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,845.97 / $3,771.77 / $6,118.84	Facility		$2,845.97	$3,771.77	$6,118.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,853.01 / $2,853.01 / $5,486.55	Professional		$2,853.01	$2,853.01	$5,486.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,663.93 / $79,999.20 / $79,999.20	Facility		$5,663.93	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,845.97 / $4,071.80 / $6,514.88	Facility		$2,845.97	$4,071.80	$6,514.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $4,071.80 / $5,700.52	Professional		$2,914.55	$4,071.80	$5,700.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,862.68 / $4,543.26 / $13,421.72	Facility		$3,862.68	$4,543.26	$13,421.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,257.44 / $3,257.44 / $3,257.44	Professional		$3,257.44	$3,257.44	$3,257.44
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,286.01	Professional		$2,857.40	$2,857.40	$3,286.01