Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,130.61 / $4,577.56 / $13,746.00	Facility		$2,130.61	$4,577.56	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,166.92 / $2,812.02 / $4,408.14	Professional		$2,166.92	$2,812.02	$4,408.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,178.19 / $2,370.39 / $4,925.00	Facility		$1,178.19	$2,370.39	$4,925.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,815.70 / $3,483.02 / $4,109.10	Facility		$1,815.70	$3,483.02	$4,109.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,283.26 / $2,892.25 / $5,949.00	Facility		$1,283.26	$2,892.25	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
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