Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,517.66 / $2,569.23 / $11,198.00	Professional		$1,517.66	$2,569.23	$11,198.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,782.58 / $2,782.58 / $2,782.58	Facility		$2,782.58	$2,782.58	$2,782.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $2,716.38	Professional		$2,031.28	$2,031.28	$2,716.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,957.04 / $7,185.96 / $9,372.29	Professional		$2,957.04	$7,185.96	$9,372.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,569.23 / $3,483.07 / $4,224.34	Facility		$2,569.23	$3,483.07	$4,224.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,140.97 / $3,970.88 / $4,435.56	Professional		$3,140.97	$3,970.88	$4,435.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,312.99 / $3,731.76 / $4,224.34	Facility		$3,312.99	$3,731.76	$4,224.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,392.51 / $4,224.34 / $4,224.34	Professional		$3,392.51	$4,224.34	$4,224.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,569.23 / $3,600.89 / $4,435.56	Facility		$2,569.23	$3,600.89	$4,435.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $3,698.98 / $4,646.77	Professional		$2,031.28	$3,698.98	$4,646.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,519.49 / $7,024.94 / $14,820.33	Facility		$3,519.49	$7,024.94	$14,820.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,632.93 / $4,646.77 / $4,646.77	Professional		$3,632.93	$4,646.77	$4,646.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,617.03 / $1,692.48 / $3,229.04	Professional		$1,617.03	$1,692.48	$3,229.04