Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,395.57 / $7,920.26 / $20,400.00	Facility		$2,395.57	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,220.36 / $2,607.21 / $3,120.16	Professional		$2,220.36	$2,607.21	$3,120.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,598.06 / $2,171.23 / $3,020.90	Facility		$1,598.06	$2,171.23	$3,020.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,712.22 / $2,319.35 / $2,412.00	Facility		$1,712.22	$2,319.35	$2,412.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,598.06 / $2,237.76 / $3,079.72	Facility		$1,598.06	$2,237.76	$3,079.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,629.08 / $16,468.63 / $21,141.18	Facility		$7,629.08	$16,468.63	$21,141.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00