Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.72 / $7,920.26 / $20,912.93	Facility		$1,728.72	$7,920.26	$20,912.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,184.00	Facility		$1,184.00	$1,184.00	$1,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,635.53 / $1,915.74 / $2,298.34	Professional		$1,635.53	$1,915.74	$2,298.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,188.46 / $1,590.92 / $2,110.55	Facility		$1,188.46	$1,590.92	$2,110.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,207.85 / $1,652.22 / $1,764.78	Facility		$1,207.85	$1,652.22	$1,764.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.54 / $1,744.79 / $3,865.00	Facility		$1,207.54	$1,744.79	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $280.23 / $280.23 / $280.23	Facility	AS	$280.23	$280.23	$280.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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