Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.92 / $7,920.26 / $20,400.00	Facility		$2,112.92	$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 $1,772.29 / $2,078.27 / $2,490.52	Professional		$1,772.29	$2,078.27	$2,490.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,283.17 / $1,749.15 / $2,300.10	Facility		$1,283.17	$1,749.15	$2,300.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.32 / $1,815.66 / $1,911.51	Facility		$1,318.32	$1,815.66	$1,911.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,276.76 / $1,812.96 / $2,473.90	Facility		$1,276.76	$1,812.96	$2,473.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $311.79 / $311.79 / $311.79	Facility	AS	$311.79	$311.79	$311.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,397.43 / $19,853.95 / $26,041.52	Facility		$9,397.43	$19,853.95	$26,041.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00