Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,322.87 / $13,570.00 / $29,427.25	Facility		$2,322.87	$13,570.00	$29,427.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.30 / $2,341.30 / $2,341.30	Facility		$2,341.30	$2,341.30	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.97 / $2,220.40 / $2,715.90	Professional		$1,690.97	$2,220.40	$2,715.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,169.90 / $1,906.19 / $2,962.85	Facility		$1,169.90	$1,906.19	$2,962.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,517.94 / $2,059.92 / $2,165.44	Facility		$1,517.94	$2,059.92	$2,165.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,253.25 / $2,183.67 / $2,962.85	Facility		$1,253.25	$2,183.67	$2,962.85
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $413.06 / $413.06 / $413.06	Facility	80	$413.06	$413.06	$413.06
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $351.10 / $351.10 / $351.10	Facility	AS	$351.10	$351.10	$351.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,713.19 / $32,532.53 / $38,534.69	Facility		$23,713.19	$32,532.53	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $18,628.00 / $31,647.34	Facility		$2,800.00	$18,628.00	$31,647.34