Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.95 / $7,920.26 / $20,400.00	Facility		$1,864.95	$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 $1,737.83 / $2,037.09 / $2,442.10	Professional		$1,737.83	$2,037.09	$2,442.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,255.50 / $1,700.85 / $2,271.19	Facility		$1,255.50	$1,700.85	$2,271.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,304.76 / $1,754.06 / $1,896.10	Facility		$1,304.76	$1,754.06	$1,896.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,255.50 / $1,764.72 / $2,412.12	Facility		$1,255.50	$1,764.72	$2,412.12
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $303.93 / $303.93 / $303.93	Facility	AS	$303.93	$303.93	$303.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,842.83 / $18,493.50 / $25,243.99	Facility		$7,842.83	$18,493.50	$25,243.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00