Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,133.35 / $20,543.00 / $43,304.42	Facility		$3,133.35	$20,543.00	$43,304.42
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 $2,942.43 / $3,461.25 / $4,134.85	Professional		$2,942.43	$3,461.25	$4,134.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,219.64 / $3,068.34 / $4,585.42	Facility		$2,219.64	$3,068.34	$4,585.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,315.25 / $3,114.90 / $3,291.04	Facility		$2,315.25	$3,114.90	$3,291.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,219.64 / $3,268.98 / $4,185.81	Facility		$2,219.64	$3,268.98	$4,185.81
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $528.13 / $528.13 / $528.13	Facility	AS	$528.13	$528.13	$528.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $20,708.00 / $26,255.00	Facility		$3,028.00	$20,708.00	$26,255.00