Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
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 $3,542.20 / $4,170.00 / $4,977.68	Professional		$3,542.20	$4,170.00	$4,977.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,769.24 / $3,224.18 / $4,706.45	Facility		$1,769.24	$3,224.18	$4,706.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,257.63 / $3,702.72 / $3,887.34	Facility		$2,257.63	$3,702.72	$3,887.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,685.07 / $3,472.62 / $4,955.53	Facility		$1,685.07	$3,472.62	$4,955.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,898.62 / $20,285.91 / $26,041.52	Facility		$9,898.62	$20,285.91	$26,041.52
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