Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.18 / $3,460.64 / $8,480.41	Facility		$1,890.18	$3,460.64	$8,480.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.31 / $2,056.78 / $8,557.39	Professional		$1,730.31	$2,056.78	$8,557.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $2,830.37 / $3,340.60	Facility		$1,632.38	$2,830.37	$3,340.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,877.24	Professional		$1,730.32	$1,730.32	$1,877.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.69 / $3,813.86 / $4,418.01	Professional		$1,712.69	$3,813.86	$4,418.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $590.98 / $2,377.46 / $3,720.19	Facility		$590.98	$2,377.46	$3,720.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,834.14 / $2,249.42	Professional		$1,730.32	$1,834.14	$2,249.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $2,162.90 / $3,613.17	Facility		$1,730.32	$2,162.90	$3,613.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,729.67 / $1,808.29 / $3,048.68	Facility		$1,729.67	$1,808.29	$3,048.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $837.94 / $1,877.24 / $2,083.48	Professional		$837.94	$1,877.24	$2,083.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,495.37 / $2,492.78 / $4,997.92	Facility		$1,495.37	$2,492.78	$4,997.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,926.21	Professional		$1,730.32	$1,730.32	$1,926.21