Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,581.31 / $7,920.26 / $20,400.00	Facility		$2,581.31	$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 $2,444.85 / $2,883.08 / $3,458.87	Professional		$2,444.85	$2,883.08	$3,458.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,481.48 / $2,211.40 / $2,934.15	Facility		$1,481.48	$2,211.40	$2,934.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,526.66 / $2,169.17 / $2,650.52	Facility		$1,526.66	$2,169.17	$2,650.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,543.19 / $2,305.86 / $5,217.00	Facility		$1,543.19	$2,305.86	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00