Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.48 / $4,962.67 / $15,341.00	Facility		$2,464.48	$4,962.67	$15,341.00
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 $2,283.12 / $2,683.46 / $3,208.36	Professional		$2,283.12	$2,683.46	$3,208.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,728.41 / $2,333.35 / $3,405.28	Facility		$1,728.41	$2,333.35	$3,405.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,736.93 / $2,386.54 / $2,499.10	Facility		$1,736.93	$2,386.54	$2,499.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,728.41 / $2,378.64 / $3,182.69	Facility		$1,728.41	$2,378.64	$3,182.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,199.91 / $4,757.80 / $6,177.86	Facility		$2,199.91	$4,757.80	$6,177.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00