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 / $13,746.00	Facility		$1,924.00	$7,920.26	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,882.26 / $2,207.66 / $2,645.05	Professional		$1,882.26	$2,207.66	$2,645.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,428.97 / $1,957.69 / $2,835.11	Facility		$1,428.97	$1,957.69	$2,835.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,410.86 / $1,951.04 / $2,058.91	Facility		$1,410.86	$1,951.04	$2,058.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,428.97 / $2,119.92 / $2,835.11	Facility		$1,428.97	$2,119.92	$2,835.11
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $332.76 / $332.76 / $332.76	Facility	AS	$332.76	$332.76	$332.76
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