Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.16 / $7,920.26 / $21,735.00	Facility		$1,872.16	$7,920.26	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $1,857.22 / $2,228.14	Professional		$1,574.10	$1,857.22	$2,228.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,066.74 / $1,525.20 / $1,933.75	Facility		$1,066.74	$1,525.20	$1,933.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,095.94 / $1,515.54 / $1,701.13	Facility		$1,095.94	$1,515.54	$1,701.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,142.68 / $1,640.93 / $5,359.00	Facility		$1,142.68	$1,640.93	$5,359.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.31 / $275.31 / $275.31	Facility	AS	$275.31	$275.31	$275.31
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