Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,189.40 / $7,716.02 / $13,320.00	Facility		$1,189.40	$7,716.02	$13,320.00
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 $1,013.49 / $1,187.11 / $1,424.21	Professional		$1,013.49	$1,187.11	$1,424.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $753.32 / $1,051.44 / $1,457.82	Facility		$753.32	$1,051.44	$1,457.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.74 / $1,027.10 / $1,094.10	Facility		$742.74	$1,027.10	$1,094.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $753.32 / $1,099.65 / $1,457.82	Facility		$753.32	$1,099.65	$1,457.82
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $173.97 / $173.97 / $173.97	Facility	AS	$173.97	$173.97	$173.97
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