Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.78 / $4,962.67 / $21,825.02	Facility		$1,258.78	$4,962.67	$21,825.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,195.91 / $1,402.46 / $1,680.56	Professional		$1,195.91	$1,402.46	$1,680.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $899.13 / $1,198.53 / $1,566.55	Facility		$899.13	$1,198.53	$1,566.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.96 / $1,228.78 / $1,293.77	Facility		$891.96	$1,228.78	$1,293.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $899.13 / $1,285.76 / $2,402.00	Facility		$899.13	$1,285.76	$2,402.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $242.70 / $242.70 / $242.70	Facility	80	$242.70	$242.70	$242.70
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $206.29 / $206.29 / $206.29	Facility	AS	$206.29	$206.29	$206.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $21,418.17 / $26,781.36	Facility		$16,860.72	$21,418.17	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00