Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.84 / $7,920.26 / $20,400.00	Facility		$1,583.84	$7,920.26	$20,400.00
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 $1,347.56 / $1,578.43 / $1,893.66	Professional		$1,347.56	$1,578.43	$1,893.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $966.72 / $1,315.14 / $1,787.55	Facility		$966.72	$1,315.14	$1,787.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,021.81 / $1,386.90 / $1,453.23	Facility		$1,021.81	$1,386.90	$1,453.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $959.13 / $1,364.40 / $1,837.19	Facility		$959.13	$1,364.40	$1,837.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $232.50 / $232.50 / $232.50	Facility	AS	$232.50	$232.50	$232.50
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