Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,686.01 / $5,005.82 / $23,747.30	Professional		$2,686.01	$5,005.82	$23,747.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $4,865.01	Professional		$3,551.46	$3,551.46	$4,865.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,761.43 / $13,075.07 / $17,053.16	Professional		$5,761.43	$13,075.07	$17,053.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,005.82 / $6,337.98 / $8,230.61	Facility		$5,005.82	$6,337.98	$8,230.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,119.78 / $7,635.82 / $8,230.61	Professional		$6,119.78	$7,635.82	$8,230.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,533.28 / $7,407.55 / $8,230.61	Facility		$6,533.28	$7,407.55	$8,230.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,135.50 / $8,230.61 / $9,053.67	Professional		$7,135.50	$8,230.61	$9,053.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,521.43 / $6,857.97 / $8,642.14	Facility		$4,521.43	$6,857.97	$8,642.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $7,207.02 / $9,053.67	Professional		$3,551.46	$7,207.02	$9,053.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,857.29 / $13,687.20 / $28,875.65	Facility		$6,857.29	$13,687.20	$28,875.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,078.32 / $9,053.67 / $9,053.67	Professional		$7,078.32	$9,053.67	$9,053.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,942.32 / $3,079.62 / $5,875.52	Professional		$2,942.32	$3,079.62	$5,875.52