Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,783.70 / $5,116.62 / $20,400.00	Facility		$1,783.70	$5,116.62	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,675.11 / $1,962.09 / $2,353.94	Professional		$1,675.11	$1,962.09	$2,353.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,219.50 / $1,631.22 / $2,165.80	Facility		$1,219.50	$1,631.22	$2,165.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,241.77 / $1,705.15 / $1,820.39	Facility		$1,241.77	$1,705.15	$1,820.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,239.80 / $1,781.32 / $3,397.00	Facility		$1,239.80	$1,781.32	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $291.04 / $291.04 / $291.04	Facility	AS	$291.04	$291.04	$291.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $42,249.68 / $50,743.40	Facility		$33,543.33	$42,249.68	$50,743.40
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