Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.94 / $7,920.26 / $20,400.00	Facility		$1,669.94	$7,920.26	$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 $1,373.07 / $1,608.31 / $1,929.52	Professional		$1,373.07	$1,608.31	$1,929.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,069.34 / $1,369.64 / $1,837.70	Facility		$1,069.34	$1,369.64	$1,837.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,052.82 / $1,446.14 / $1,514.87	Facility		$1,052.82	$1,446.14	$1,514.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,069.34 / $1,514.87 / $2,748.00	Facility		$1,069.34	$1,514.87	$2,748.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $246.05 / $246.05 / $246.05	Facility	AS	$246.05	$246.05	$246.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
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