Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.09 / $7,920.26 / $20,400.00	Facility		$1,726.09	$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 $1,464.05 / $1,714.87 / $2,057.36	Professional		$1,464.05	$1,714.87	$2,057.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.55 / $1,424.76 / $1,905.70	Facility		$1,097.55	$1,424.76	$1,905.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,090.13 / $1,482.92 / $1,585.22	Facility		$1,090.13	$1,482.92	$1,585.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,098.21 / $1,570.44 / $3,397.00	Facility		$1,098.21	$1,570.44	$3,397.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $253.58 / $253.58 / $253.58	Facility	AS	$253.58	$253.58	$253.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $28,333.44	Facility		$16,860.72	$22,602.85	$28,333.44
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