Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,377.08 / $1,941.27 / $9,648.82	Professional		$1,377.08	$1,941.27	$9,648.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $1,808.29 / $1,808.29	Facility		$1,808.29	$1,808.29	$1,808.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $1,537.05 / $1,808.29	Professional		$1,537.05	$1,537.05	$1,808.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,234.30 / $6,129.87 / $7,994.88	Professional		$2,234.30	$6,129.87	$7,994.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,941.27 / $2,659.54 / $3,191.85	Facility		$1,941.27	$2,659.54	$3,191.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.70 / $2,521.26 / $3,191.85	Professional		$1,276.70	$2,521.26	$3,191.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,533.63 / $3,054.36 / $3,359.80	Facility		$2,533.63	$3,054.36	$3,359.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,872.67 / $3,191.85 / $3,359.80	Professional		$2,872.67	$3,191.85	$3,359.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,808.29 / $2,595.78 / $3,191.85	Facility		$1,808.29	$2,595.78	$3,191.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,537.05 / $2,794.89 / $3,511.04	Professional		$1,537.05	$2,794.89	$3,511.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,659.27 / $5,307.92 / $11,198.01	Facility		$2,659.27	$5,307.92	$11,198.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,744.99 / $3,511.04 / $3,511.04	Professional		$2,744.99	$3,511.04	$3,511.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.38 / $1,443.74 / $2,754.47	Professional		$1,379.38	$1,443.74	$2,754.47