Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.07 / $5,116.62 / $20,400.00	Facility		$1,106.07	$5,116.62	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.81 / $1,110.30 / $1,332.04	Professional		$946.81	$1,110.30	$1,332.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.30 / $997.92 / $1,356.93	Facility		$702.30	$997.92	$1,356.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.51 / $935.30 / $1,015.72	Facility		$685.51	$935.30	$1,015.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.30 / $1,070.19 / $5,949.00	Facility		$702.30	$1,070.19	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $160.97 / $160.97 / $160.97	Facility	AS	$160.97	$160.97	$160.97
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