Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.02 / $7,920.26 / $20,400.00	Facility		$1,737.02	$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 $1,484.90 / $1,740.15 / $2,086.67	Professional		$1,484.90	$1,740.15	$2,086.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,119.78 / $1,511.70 / $1,974.55	Facility		$1,119.78	$1,511.70	$1,974.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.07 / $1,545.69 / $1,601.30	Facility		$1,123.07	$1,545.69	$1,601.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,119.78 / $1,601.29 / $2,753.68	Facility		$1,119.78	$1,601.29	$2,753.68
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 $3,028.00 / $20,708.00 / $26,830.35	Facility		$3,028.00	$20,708.00	$26,830.35