Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,786.30	Professional		$1,995.26	$2,754.23	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $12,589.25	Professional		$4,466.84	$10,000.00	$12,589.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $6,025.60	Facility		$3,630.78	$4,466.84	$6,025.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,786.30 / $6,456.54	Professional		$4,365.16	$4,786.30	$6,456.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $6,025.60	Facility		$4,677.35	$5,754.40	$6,025.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,888.44 / $6,456.54	Professional		$5,370.32	$5,888.44	$6,456.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $6,456.54	Facility		$2,884.03	$4,570.88	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $5,128.61 / $6,165.95	Professional		$87.10	$5,128.61	$6,165.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,317.64 / $22,387.21	Facility		$4,897.79	$8,317.64	$22,387.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,606.93 / $6,606.93	Professional		$6,025.60	$6,606.93	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,090.30 / $10,000.00	Facility		$3,019.95	$3,090.30	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $4,365.16	Professional		$2,041.74	$2,290.87	$4,365.16