Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.87 / $7,920.26 / $20,400.00	Facility		$1,846.87	$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 $1,738.39 / $2,036.21 / $2,442.87	Professional		$1,738.39	$2,036.21	$2,442.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,082.41 / $1,671.84 / $2,255.90	Facility		$1,082.41	$1,671.84	$2,255.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,270.33 / $1,776.17 / $1,869.30	Facility		$1,270.33	$1,776.17	$1,869.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.73 / $1,821.30 / $3,214.54	Facility		$1,155.73	$1,821.30	$3,214.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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