Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.52 / $7,920.26 / $59,023.00	Facility		$790.52	$7,920.26	$59,023.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,250.41 / $3,250.41 / $5,022.74	Facility		$3,250.41	$3,250.41	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,261.26 / $2,969.24 / $3,685.34	Professional		$2,261.26	$2,969.24	$3,685.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,393.30 / $2,548.82 / $3,999.52	Facility		$1,393.30	$2,548.82	$3,999.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,885.05 / $2,732.26 / $2,858.04	Facility		$1,885.05	$2,732.26	$2,858.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,462.88 / $3,006.07 / $4,889.79	Facility		$1,462.88	$3,006.07	$4,889.79
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