Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,943.28 / $15,848.93	Facility		$2,344.23	$7,943.28	$15,848.93
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 $1,698.24 / $2,238.72 / $2,818.38	Professional		$1,698.24	$2,238.72	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,388.44	Facility		$1,148.15	$1,819.70	$3,388.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,344.23	Facility		$1,819.70	$2,290.87	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,570.40	Facility		$1,174.90	$1,819.70	$2,570.40
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