Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.42 / $5,116.62 / $20,400.00	Facility		$2,354.42	$5,116.62	$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 $2,200.75 / $2,580.46 / $3,092.62	Professional		$2,200.75	$2,580.46	$3,092.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,572.08 / $2,148.92 / $2,892.55	Facility		$1,572.08	$2,148.92	$2,892.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.90 / $2,250.58 / $2,401.28	Facility		$1,659.90	$2,250.58	$2,401.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,562.49 / $2,217.60 / $3,049.69	Facility		$1,562.49	$2,217.60	$3,049.69
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $451.99 / $451.99 / $451.99	Facility	80	$451.99	$451.99	$451.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $384.19 / $384.19 / $384.19	Facility	AS	$384.19	$384.19	$384.19
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