Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.27 / $7,920.26 / $20,400.00	Facility		$1,451.27	$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 $1,237.63 / $1,449.67 / $1,739.18	Professional		$1,237.63	$1,449.67	$1,739.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $877.95 / $1,202.18 / $1,558.90	Facility		$877.95	$1,202.18	$1,558.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $884.21 / $1,226.16 / $1,338.66	Facility		$884.21	$1,226.16	$1,338.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $1,301.64 / $5,217.00	Facility		$900.00	$1,301.64	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $213.28 / $213.28 / $213.28	Facility	AS	$213.28	$213.28	$213.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00