Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.32 / $8,952.00 / $32,689.00	Facility		$2,040.32	$8,952.00	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $5,022.74	Facility		$2,059.63	$2,059.63	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,611.16 / $2,115.59 / $2,642.16	Professional		$1,611.16	$2,115.59	$2,642.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $947.91 / $1,815.98 / $2,819.38	Facility		$947.91	$1,815.98	$2,819.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,345.20 / $1,925.58 / $2,031.16	Facility		$1,345.20	$1,925.58	$2,031.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.68 / $2,112.73 / $3,464.56	Facility		$1,017.68	$2,112.73	$3,464.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00