Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $7,920.26 / $20,400.00	Facility		$1,924.00	$7,920.26	$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 $1,761.68 / $2,063.50 / $2,475.61	Professional		$1,761.68	$2,063.50	$2,475.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,324.74 / $1,772.61 / $2,579.65	Facility		$1,324.74	$1,772.61	$2,579.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,309.11 / $1,796.94 / $1,902.13	Facility		$1,309.11	$1,796.94	$1,902.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,324.74 / $1,886.88 / $3,397.00	Facility		$1,324.74	$1,886.88	$3,397.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $357.69 / $357.69 / $357.69	Facility	80	$357.69	$357.69	$357.69
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $304.02 / $304.02 / $304.02	Facility	AS	$304.02	$304.02	$304.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33,543.33 / $44,586.59 / $52,124.27	Facility		$33,543.33	$44,586.59	$52,124.27
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