Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.35 / $2,747.00 / $13,320.00	Facility		$1,369.35	$2,747.00	$13,320.00
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 $1,388.81 / $1,626.75 / $1,951.64	Professional		$1,388.81	$1,626.75	$1,951.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $978.99 / $1,364.40 / $1,778.20	Facility		$978.99	$1,364.40	$1,778.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.84 / $1,389.30 / $1,496.78	Facility		$1,020.84	$1,389.30	$1,496.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $980.53 / $1,469.73 / $2,748.00	Facility		$980.53	$1,469.73	$2,748.00
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