Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.00 / $5,116.62 / $14,071.75	Facility		$1,126.00	$5,116.62	$14,071.75
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 $1,069.04 / $1,252.19 / $1,502.28	Professional		$1,069.04	$1,252.19	$1,502.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $655.32 / $1,000.08 / $1,308.08	Facility		$655.32	$1,000.08	$1,308.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $739.90 / $1,042.52 / $1,148.38	Facility		$739.90	$1,042.52	$1,148.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $1,093.05 / $3,397.00	Facility		$711.98	$1,093.05	$3,397.00
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 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00