Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.22 / $7,920.26 / $15,978.56	Facility		$1,659.22	$7,920.26	$15,978.56
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 $1,780.49 / $2,091.67 / $2,502.04	Professional		$1,780.49	$2,091.67	$2,502.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,864.38 / $2,651.84	Facility		$1,348.96	$1,864.38	$2,651.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,349.82 / $1,854.56 / $1,948.36	Facility		$1,349.82	$1,854.56	$1,948.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,938.21 / $2,480.77	Facility		$1,348.96	$1,938.21	$2,480.77
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $313.20 / $313.20 / $313.20	Facility	AS	$313.20	$313.20	$313.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,963.77 / $18,493.50 / $25,243.99	Facility		$7,963.77	$18,493.50	$25,243.99
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