Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,943.28 / $17,378.01	Facility		$1,202.26	$7,943.28	$17,378.01
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 $977.24 / $1,288.25 / $1,479.11	Professional		$977.24	$1,288.25	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,023.29 / $2,137.96	Facility		$616.60	$1,023.29	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,230.27	Facility		$933.25	$1,122.02	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,380.38	Facility		$616.60	$977.24	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,118.86 / $33,884.42 / $40,738.03	Facility	50	$25,118.86	$33,884.42	$40,738.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78