Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.98 / $7,920.26 / $20,400.00	Facility		$1,641.98	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,393.47 / $1,632.20 / $1,958.18	Professional		$1,393.47	$1,632.20	$1,958.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $982.84 / $1,353.46 / $1,786.70	Facility		$982.84	$1,353.46	$1,786.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,019.39 / $1,400.97 / $1,512.19	Facility		$1,019.39	$1,400.97	$1,512.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.67 / $1,474.84 / $5,949.00	Facility		$1,034.67	$1,474.84	$5,949.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00