Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $5,990.28	Facility		$2,545.87	$2,545.87	$5,990.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,396.11 / $2,485.96 / $2,575.82	Professional		$2,396.11	$2,485.96	$2,575.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $5,091.74	Facility		$2,545.87	$2,545.87	$5,091.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $2,545.87 / $2,545.87	Professional		$2,545.87	$2,545.87	$2,545.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.60 / $483.75 / $613.21	Professional		$401.60	$483.75	$613.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.39 / $2,485.96 / $3,554.94	Facility		$322.39	$2,485.96	$3,554.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $353.66 / $354.96	Professional		$303.70	$353.66	$354.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,026.85 / $79,999.20 / $79,999.20	Facility		$5,026.85	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $322.39 / $2,485.96 / $3,480.36	Facility		$322.39	$2,485.96	$3,480.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,545.87 / $3,119.94 / $3,119.94	Professional		$2,545.87	$3,119.94	$3,119.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $865.07 / $3,374.07 / $8,435.32	Facility		$865.07	$3,374.07	$8,435.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $2,495.94 / $2,870.34	Professional		$2,495.94	$2,495.94	$2,870.34