Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,261.79 / $2,361.81 / $10,253.79	Professional		$1,261.79	$2,361.81	$10,253.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.89 / $1,819.89 / $1,819.89	Facility		$1,819.89	$1,819.89	$1,819.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $1,819.89	Professional		$1,328.52	$1,328.52	$1,819.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,718.32 / $6,168.93 / $8,045.84	Professional		$2,718.32	$6,168.93	$8,045.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.77 / $2,990.05 / $3,883.31	Facility		$2,344.77	$2,990.05	$3,883.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,887.39 / $3,650.31 / $4,077.48	Professional		$2,887.39	$3,650.31	$4,077.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,065.70 / $3,453.21 / $3,883.31	Facility		$3,065.70	$3,453.21	$3,883.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,139.28 / $3,883.31 / $3,883.31	Professional		$3,139.28	$3,883.31	$3,883.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,945.55 / $3,235.68 / $4,077.48	Facility		$1,945.55	$3,235.68	$4,077.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $3,400.36 / $4,271.64	Professional		$1,328.52	$3,400.36	$4,271.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,235.36 / $6,457.80 / $13,623.88	Facility		$3,235.36	$6,457.80	$13,623.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,339.65 / $4,271.64 / $4,271.64	Professional		$3,339.65	$4,271.64	$4,271.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.23 / $1,453.01 / $2,772.15	Professional		$1,388.23	$1,453.01	$2,772.15