Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $9,772.37	Facility		$1,348.96	$4,897.79	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $6,165.95	Professional		$2,511.89	$4,897.79	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,677.35	Facility		$1,445.44	$2,089.30	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,370.32	Professional		$4,897.79	$4,897.79	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,511.89 / $2,691.53	Professional		$1,047.13	$2,511.89	$2,691.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,248.07 / $6,456.54	Facility		$4,897.79	$5,248.07	$6,456.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,248.07 / $6,165.95	Professional		$4,897.79	$5,248.07	$6,165.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $2,187.76	Facility		$1,047.13	$1,318.26	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $7,079.46	Facility		$1,380.38	$2,041.74	$7,079.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,348.96 / $5,370.32	Professional		$79.43	$1,348.96	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $3,715.35	Facility		$1,122.02	$1,905.46	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $11,748.98	Facility		$4,897.79	$4,897.79	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79