Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $15,415.58 / $38,874.00	Facility		$2,747.00	$15,415.58	$38,874.00
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 $2,874.75 / $3,380.74 / $4,039.76	Professional		$2,874.75	$3,380.74	$4,039.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,126.04 / $2,843.49 / $3,844.55	Facility		$2,126.04	$2,843.49	$3,844.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,235.48 / $3,042.44 / $3,201.93	Facility		$2,235.48	$3,042.44	$3,201.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,102.39 / $2,964.24 / $4,077.69	Facility		$2,102.39	$2,964.24	$4,077.69
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $2,361.83 / $2,361.83 / $2,361.83	Facility	62	$2,361.83	$2,361.83	$2,361.83
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $604.63 / $604.63 / $604.63	Facility	80	$604.63	$604.63	$604.63
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $513.92 / $513.92 / $513.92	Facility	AS	$513.92	$513.92	$513.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $58,523.61 / $78,393.52	Facility		$33,543.33	$58,523.61	$78,393.52
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