Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,019.95	Professional		$1,288.25	$1,698.24	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $6,165.95 / $7,762.47	Professional		$2,754.23	$6,165.95	$7,762.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,162.28	Facility		$2,187.76	$2,754.23	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $3,890.45	Professional		$2,630.27	$2,884.03	$3,890.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,630.78	Facility		$2,884.03	$3,162.28	$3,630.78
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $3,630.78	Professional		$3,162.28	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $4,073.80	Facility		$1,584.89	$2,951.21	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $3,162.28 / $3,801.89	Professional		$87.10	$3,162.28	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,128.61 / $13,803.84	Facility		$3,019.95	$5,128.61	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $4,073.80	Professional		$3,630.78	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $6,165.95	Facility		$1,621.81	$1,949.84	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,691.53	Professional		$1,288.25	$1,412.54	$2,691.53