Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,251.31 / $2,039.58 / $9,310.11	Professional		$1,251.31	$2,039.58	$9,310.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $1,743.07 / $1,743.07	Facility		$1,743.07	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $1,743.07	Professional		$1,272.44	$1,272.44	$1,743.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,347.44 / $5,908.99 / $7,706.82	Professional		$2,347.44	$5,908.99	$7,706.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,039.58 / $2,794.22 / $3,353.50	Facility		$2,039.58	$2,794.22	$3,353.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,493.46 / $3,152.29 / $3,521.18	Professional		$2,493.46	$3,152.29	$3,521.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,661.94 / $3,018.15 / $3,353.50	Facility		$2,661.94	$3,018.15	$3,353.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,664.07 / $3,185.83 / $3,353.50	Professional		$2,664.07	$3,185.83	$3,353.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,743.07 / $2,863.82 / $3,521.18	Facility		$1,743.07	$2,863.82	$3,521.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $2,936.44 / $3,688.85	Professional		$1,272.44	$2,936.44	$3,688.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,793.95 / $5,576.74 / $11,765.14	Facility		$2,793.95	$5,576.74	$11,765.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,884.01 / $3,688.85 / $3,688.85	Professional		$2,884.01	$3,688.85	$3,688.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,329.63 / $1,391.68 / $2,655.13	Professional		$1,329.63	$1,391.68	$2,655.13