Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,800.95 / $5,283.64 / $7,920.26	Facility		$4,800.95	$5,283.64	$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 $3,802.93 / $4,993.59 / $6,184.84	Professional		$3,802.93	$4,993.59	$6,184.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,482.46 / $4,286.68 / $6,673.58	Facility		$2,482.46	$4,286.68	$6,673.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,176.10 / $4,584.14 / $4,779.10	Facility		$3,176.10	$4,584.14	$4,779.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,489.94 / $4,821.00 / $6,673.58	Facility		$2,489.94	$4,821.00	$6,673.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,560.15 / $12,560.15 / $12,560.15	Facility		$12,560.15	$12,560.15	$12,560.15
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