Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.67 / $7,920.26 / $20,400.00	Facility		$1,175.67	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.77 / $1,176.91 / $1,411.95	Professional		$1,004.77	$1,176.91	$1,411.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.12 / $966.24 / $1,291.15	Facility		$662.12	$966.24	$1,291.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.75 / $1,007.68 / $1,081.38	Facility		$691.75	$1,007.68	$1,081.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.19 / $1,056.68 / $5,949.00	Facility		$703.19	$1,056.68	$5,949.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $171.46 / $171.46 / $171.46	Facility	AS	$171.46	$171.46	$171.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00