Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,158.63 / $7,920.26 / $23,856.49	Facility		$3,158.63	$7,920.26	$23,856.49
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 $2,988.91 / $3,506.92 / $4,200.18	Professional		$2,988.91	$3,506.92	$4,200.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,164.33 / $2,920.20 / $3,939.75	Facility		$2,164.33	$2,920.20	$3,939.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,315.42 / $3,124.88 / $3,378.14	Facility		$2,315.42	$3,124.88	$3,378.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,164.33 / $2,974.32 / $4,277.63	Facility		$2,164.33	$2,974.32	$4,277.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
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