Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.36 / $7,920.26 / $20,400.00	Facility		$1,583.36	$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 $1,342.35 / $1,572.32 / $1,886.34	Professional		$1,342.35	$1,572.32	$1,886.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.72 / $1,305.72 / $1,730.60	Facility		$954.72	$1,305.72	$1,730.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $990.80 / $1,356.75 / $1,454.57	Facility		$990.80	$1,356.75	$1,454.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.18 / $1,421.58 / $2,748.00	Facility		$999.18	$1,421.58	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.07 / $232.07 / $232.07	Facility	AS	$232.07	$232.07	$232.07
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