Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $12,302.69	Facility		$1,174.90	$6,025.60	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,445.44	Professional		$870.96	$1,174.90	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $870.96 / $1,479.11	Facility		$426.58	$870.96	$1,479.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,202.26	Facility		$831.76	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $1,258.93	Facility		$380.19	$831.76	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78