Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.55 / $7,920.26 / $20,400.00	Facility		$1,935.55	$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 $1,807.61 / $2,118.21 / $2,540.16	Professional		$1,807.61	$2,118.21	$2,540.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,299.21 / $1,763.90 / $2,359.60	Facility		$1,299.21	$1,763.90	$2,359.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,356.12 / $1,863.27 / $1,967.12	Facility		$1,356.12	$1,863.27	$1,967.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,361.34 / $1,943.33 / $5,217.00	Facility		$1,361.34	$1,943.33	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $315.17 / $315.17 / $315.17	Facility	AS	$315.17	$315.17	$315.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
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