Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $33,884.42	Facility		$2,398.83	$5,128.61	$33,884.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,128.61	Professional		$2,187.76	$3,090.30	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $4,897.79	Facility		$1,148.15	$2,344.23	$4,897.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,365.16	Facility		$2,884.03	$3,801.89	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $4,570.88	Facility		$1,148.15	$2,238.72	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96