Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.12 / $9,972.00 / $31,612.26	Facility		$1,784.12	$9,972.00	$31,612.26
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 $1,484.09 / $1,743.17 / $2,085.53	Professional		$1,484.09	$1,743.17	$2,085.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,133.09 / $1,431.29 / $2,564.39	Facility		$1,133.09	$1,431.29	$2,564.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.07 / $1,487.32 / $1,697.78	Facility		$1,011.07	$1,487.32	$1,697.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.09 / $1,539.46 / $2,093.76	Facility		$919.09	$1,539.46	$2,093.76
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $271.49 / $271.49 / $271.49	Facility	AS	$271.49	$271.49	$271.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,945.62 / $65,879.63 / $78,393.52	Facility		$44,945.62	$65,879.63	$78,393.52
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $67,418.42 / $98,819.45 / $117,590.28	Facility	50	$67,418.42	$98,819.45	$117,590.28
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00