Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,943.28 / $21,379.62	Facility		$2,630.27	$7,943.28	$21,379.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,162.28	Professional		$1,995.26	$2,630.27	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,311.31	Facility		$1,288.25	$2,041.74	$3,311.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $2,691.53	Facility		$2,089.30	$2,511.89	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,884.03	Facility		$1,318.26	$1,995.26	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $42,657.95 / $53,703.18	Facility		$33,884.42	$42,657.95	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $56,234.13	Facility		$3,019.95	$20,892.96	$56,234.13