Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,915.84 / $7,920.26 / $23,856.49	Facility		$2,915.84	$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 $2,752.96 / $3,227.66 / $3,868.61	Professional		$2,752.96	$3,227.66	$3,868.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,972.90 / $2,687.70 / $3,591.25	Facility		$1,972.90	$2,687.70	$3,591.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,099.82 / $2,847.50 / $3,081.33	Facility		$2,099.82	$2,847.50	$3,081.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,972.90 / $2,705.76 / $3,910.36	Facility		$1,972.90	$2,705.76	$3,910.36
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $575.72 / $575.72 / $575.72	Facility	80	$575.72	$575.72	$575.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $489.36 / $489.36 / $489.36	Facility	AS	$489.36	$489.36	$489.36
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