Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,644.80 / $3,243.63 / $7,920.26	Facility		$2,644.80	$3,243.63	$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 $2,114.76 / $2,776.87 / $3,397.75	Professional		$2,114.76	$2,776.87	$3,397.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.02 / $2,383.90 / $3,657.05	Facility		$1,344.02	$2,383.90	$3,657.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,772.47 / $2,559.40 / $2,705.46	Facility		$1,772.47	$2,559.40	$2,705.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,368.10 / $2,673.09 / $3,657.05	Facility		$1,368.10	$2,673.09	$3,657.05
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $514.95 / $514.95 / $514.95	Facility	80	$514.95	$514.95	$514.95
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $437.71 / $437.71 / $437.71	Facility	AS	$437.71	$437.71	$437.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,904.73 / $6,904.73 / $6,904.73	Facility		$6,904.73	$6,904.73	$6,904.73
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