Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $3,311.31	Professional		$1,621.81	$2,041.74	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $7,413.10 / $9,332.54	Professional		$3,019.95	$7,413.10	$9,332.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $4,168.69	Facility		$2,398.83	$2,951.21	$4,168.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $4,265.80	Professional		$2,884.03	$3,162.28	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $3,890.45	Facility		$3,090.30	$3,801.89	$3,890.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $4,677.35	Facility		$1,949.84	$3,235.94	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,467.37 / $4,168.69	Professional		$87.10	$3,467.37	$4,168.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $15,135.61	Facility		$3,311.31	$5,495.41	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,365.16 / $4,365.16	Professional		$3,981.07	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,623.41 / $7,585.78	Facility		$1,949.84	$5,623.41	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $3,311.31	Professional		$1,548.82	$1,737.80	$3,311.31