Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $15,848.93	Facility		$1,949.84	$2,511.89	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,344.23	Professional		$1,479.11	$1,995.26	$2,344.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,290.87	Facility		$954.99	$1,479.11	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,949.84	Facility		$1,479.11	$1,778.28	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,089.30	Facility		$954.99	$1,445.44	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $26,302.68	Facility		$3,630.78	$10,000.00	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68