Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.60 / $7,920.26 / $20,400.00	Facility		$1,521.60	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.07 / $1,508.13 / $1,807.26	Professional		$1,286.07	$1,508.13	$1,807.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $966.58 / $1,334.25 / $1,894.70	Facility		$966.58	$1,334.25	$1,894.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.06 / $1,336.65 / $1,405.66	Facility		$977.06	$1,336.65	$1,405.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $966.58 / $1,424.19 / $1,894.70	Facility		$966.58	$1,424.19	$1,894.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $225.30 / $225.30 / $225.30	Facility	AS	$225.30	$225.30	$225.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00