Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.96 / $6,552.70 / $21,166.00	Facility		$1,234.96	$6,552.70	$21,166.00
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 $1,331.78 / $1,559.95 / $1,871.49	Professional		$1,331.78	$1,559.95	$1,871.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.77 / $1,295.80 / $1,731.45	Facility		$1,000.77	$1,295.80	$1,731.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $989.35 / $1,365.46 / $1,443.85	Facility		$989.35	$1,365.46	$1,443.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,004.04 / $1,435.78 / $2,748.00	Facility		$1,004.04	$1,435.78	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $231.19 / $231.19 / $231.19	Facility	AS	$231.19	$231.19	$231.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00