Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,418.50 / $5,116.62 / $7,920.26	Facility		$4,418.50	$5,116.62	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $1,664.70 / $1,664.70	Facility		$1,664.70	$1,664.70	$1,664.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,492.80 / $4,586.37 / $5,689.63	Professional		$3,492.80	$4,586.37	$5,689.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,313.23 / $3,937.34 / $6,169.12	Facility		$2,313.23	$3,937.34	$6,169.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,012.86 / $4,208.93 / $4,393.18	Facility		$3,012.86	$4,208.93	$4,393.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,347.73 / $4,432.00 / $6,169.12	Facility		$2,347.73	$4,432.00	$6,169.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,536.25 / $11,536.25 / $11,536.25	Facility		$11,536.25	$11,536.25	$11,536.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $7,664.00 / $31,303.00	Facility		$1,345.00	$7,664.00	$31,303.00