Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.43 / $8,369.76 / $14,917.06	Facility		$1,321.43	$8,369.76	$14,917.06
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 $1,244.13 / $1,457.28 / $1,748.32	Professional		$1,244.13	$1,457.28	$1,748.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $932.94 / $1,259.28 / $1,613.30	Facility		$932.94	$1,259.28	$1,613.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $915.71 / $1,260.66 / $1,335.98	Facility		$915.71	$1,260.66	$1,335.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $932.94 / $1,334.10 / $5,217.00	Facility		$932.94	$1,334.10	$5,217.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $251.18 / $251.18 / $251.18	Facility	80	$251.18	$251.18	$251.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $213.50 / $213.50 / $213.50	Facility	AS	$213.50	$213.50	$213.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,873.02 / $21,418.17 / $26,781.36	Facility		$11,873.02	$21,418.17	$26,781.36
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