Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.42 / $7,920.26 / $32,689.00	Facility		$1,025.42	$7,920.26	$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 $876.98 / $1,110.94 / $1,403.70	Professional		$876.98	$1,110.94	$1,403.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.45 / $931.41 / $1,474.55	Facility		$588.45	$931.41	$1,474.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $678.00 / $1,067.50 / $1,167.81	Facility		$678.00	$1,067.50	$1,167.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $600.74 / $1,017.19 / $1,571.67	Facility		$600.74	$1,017.19	$1,571.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $19,116.02 / $21,922.68	Facility		$13,671.70	$19,116.02	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,151.00 / $15,055.00 / $24,231.00	Facility		$2,151.00	$15,055.00	$24,231.00