Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $13,182.57	Facility		$2,818.38	$3,630.78	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,388.44	Professional		$2,137.96	$2,818.38	$3,388.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $4,265.80	Facility		$1,348.96	$2,137.96	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $2,884.03	Facility		$2,137.96	$2,818.38	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $3,388.44	Facility		$1,412.54	$2,238.72	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50