Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$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 $2,783.25 / $3,260.18 / $3,911.16	Professional		$2,783.25	$3,260.18	$3,911.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,971.55 / $2,714.98 / $3,602.30	Facility		$1,971.55	$2,714.98	$3,602.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,091.59 / $2,826.33 / $3,076.64	Facility		$2,091.59	$2,826.33	$3,076.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,971.55 / $2,729.52 / $3,902.64	Facility		$1,971.55	$2,729.52	$3,902.64
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,250.41 / $2,250.41 / $2,250.41	Facility	62	$2,250.41	$2,250.41	$2,250.41
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $576.10 / $576.10 / $576.10	Facility	80	$576.10	$576.10	$576.10
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $489.69 / $489.69 / $489.69	Facility	AS	$489.69	$489.69	$489.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $20,285.91 / $26,041.52	Facility		$9,397.43	$20,285.91	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00