Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,937.28 / $3,392.00 / $17,202.40	Professional		$1,937.28	$3,392.00	$17,202.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,813.78 / $3,813.78 / $3,813.78	Facility		$3,813.78	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $3,813.78	Professional		$2,784.06	$2,784.06	$3,813.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,904.01 / $9,471.44 / $12,353.12	Professional		$3,904.01	$9,471.44	$12,353.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,392.00 / $4,590.88 / $5,577.16	Facility		$3,392.00	$4,590.88	$5,577.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,146.84 / $5,242.53 / $5,856.02	Professional		$4,146.84	$5,242.53	$5,856.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,427.03 / $5,019.43 / $5,577.16	Facility		$4,427.03	$5,019.43	$5,577.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,778.05 / $5,298.30 / $5,577.16	Professional		$4,778.05	$5,298.30	$5,577.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,221.58 / $4,711.91 / $5,856.02	Facility		$3,221.58	$4,711.91	$5,856.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $4,883.56 / $6,134.88	Professional		$2,784.06	$4,883.56	$6,134.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,646.58 / $9,274.62 / $19,566.47	Facility		$4,646.58	$9,274.62	$19,566.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,796.35 / $6,134.88 / $6,134.88	Professional		$4,796.35	$6,134.88	$6,134.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,131.40 / $2,230.86 / $4,256.18	Professional		$2,131.40	$2,230.86	$4,256.18