Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,446.31 / $7,920.26 / $23,856.49	Facility		$2,446.31	$7,920.26	$23,856.49
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 $2,061.06 / $2,420.89 / $2,896.31	Professional		$2,061.06	$2,420.89	$2,896.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,558.59 / $2,074.83 / $2,714.31	Facility		$1,558.59	$2,074.83	$2,714.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,546.52 / $2,101.23 / $2,242.48	Facility		$1,546.52	$2,101.23	$2,242.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,558.59 / $2,135.27 / $2,854.90	Facility		$1,558.59	$2,135.27	$2,854.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $358.64 / $358.64 / $358.64	Facility	AS	$358.64	$358.64	$358.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,472.14 / $39,875.19 / $51,188.76	Facility		$18,472.14	$39,875.19	$51,188.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00