Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.46 / $7,920.26 / $20,400.00	Facility		$1,274.46	$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 $1,082.20 / $1,267.59 / $1,520.76	Professional		$1,082.20	$1,267.59	$1,520.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $793.29 / $1,050.90 / $1,373.60	Facility		$793.29	$1,050.90	$1,373.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $778.59 / $1,076.69 / $1,170.49	Facility		$778.59	$1,076.69	$1,170.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $806.14 / $1,140.08 / $2,748.00	Facility		$806.14	$1,140.08	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $186.42 / $186.42 / $186.42	Facility	AS	$186.42	$186.42	$186.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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