Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,747.00 / $15,414.59	Facility		$1,758.00	$2,747.00	$15,414.59
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 $1,945.83 / $2,283.34 / $2,734.38	Professional		$1,945.83	$2,283.34	$2,734.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,368.11 / $1,958.22 / $2,590.80	Facility		$1,368.11	$1,958.22	$2,590.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.51 / $2,003.97 / $2,123.90	Facility		$1,409.51	$2,003.97	$2,123.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,433.59 / $2,059.37 / $5,217.00	Facility		$1,433.59	$2,059.37	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $330.68 / $330.68 / $330.68	Facility	AS	$330.68	$330.68	$330.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
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