Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,583.48 / $7,920.26 / $21,735.00	Facility		$2,583.48	$7,920.26	$21,735.00
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 $2,178.17 / $2,554.19 / $3,060.89	Professional		$2,178.17	$2,554.19	$3,060.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,642.24 / $2,127.21 / $2,842.40	Facility		$1,642.24	$2,127.21	$2,842.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,634.22 / $2,232.44 / $2,371.13	Facility		$1,634.22	$2,232.44	$2,371.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,642.24 / $2,346.19 / $5,359.00	Facility		$1,642.24	$2,346.19	$5,359.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00