Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.80 / $7,920.26 / $20,400.00	Facility		$1,316.80	$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 $1,121.20 / $1,313.29 / $1,575.57	Professional		$1,121.20	$1,313.29	$1,575.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $840.52 / $1,088.72 / $1,427.15	Facility		$840.52	$1,088.72	$1,427.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $812.51 / $1,123.58 / $1,208.01	Facility		$812.51	$1,123.58	$1,208.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $840.52 / $1,187.38 / $5,217.00	Facility		$840.52	$1,187.38	$5,217.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $193.41 / $193.41 / $193.41	Facility	AS	$193.41	$193.41	$193.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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