Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.07 / $7,920.26 / $15,978.56	Facility		$1,770.07	$7,920.26	$15,978.56
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 $1,503.22 / $1,763.63 / $2,115.85	Professional		$1,503.22	$1,763.63	$2,115.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,072.84 / $1,402.56 / $1,845.35	Facility		$1,072.84	$1,402.56	$1,845.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,052.33 / $1,455.24 / $1,617.38	Facility		$1,052.33	$1,455.24	$1,617.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.92 / $1,550.34 / $3,865.00	Facility		$1,089.92	$1,550.34	$3,865.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $258.70 / $258.70 / $258.70	Facility	AS	$258.70	$258.70	$258.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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