Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.91 / $7,920.26 / $20,400.00	Facility		$2,422.91	$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 $2,042.97 / $2,395.11 / $2,870.89	Professional		$2,042.97	$2,395.11	$2,870.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,521.83 / $1,994.54 / $2,669.85	Facility		$1,521.83	$1,994.54	$2,669.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,535.87 / $2,074.39 / $2,231.77	Facility		$1,535.87	$2,074.39	$2,231.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,521.83 / $2,065.67 / $2,836.02	Facility		$1,521.83	$2,065.67	$2,836.02
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $357.77 / $357.77 / $357.77	Facility	AS	$357.77	$357.77	$357.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00