Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,063.15 / $2,747.00 / $15,978.56	Facility		$2,063.15	$2,747.00	$15,978.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,934.15 / $2,265.52 / $2,717.97	Professional		$1,934.15	$2,265.52	$2,717.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,379.42 / $1,948.63 / $2,524.50	Facility		$1,379.42	$1,948.63	$2,524.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,448.66 / $1,990.57 / $2,101.79	Facility		$1,448.66	$1,990.57	$2,101.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,390.69 / $2,076.39 / $3,865.00	Facility		$1,390.69	$2,076.39	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $336.03 / $336.03 / $336.03	Facility	AS	$336.03	$336.03	$336.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,336.00 / $47,803.81 / $65,879.63	Facility		$36,336.00	$47,803.81	$65,879.63
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