Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.73 / $2,747.00 / $7,920.26	Facility		$1,390.73	$2,747.00	$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 $1,113.10 / $1,461.61 / $1,798.07	Professional		$1,113.10	$1,461.61	$1,798.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $749.43 / $1,254.78 / $1,913.22	Facility		$749.43	$1,254.78	$1,913.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $905.40 / $1,332.63 / $1,419.73	Facility		$905.40	$1,332.63	$1,419.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $784.86 / $1,404.80 / $1,913.22	Facility		$784.86	$1,404.80	$1,913.22
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $270.19 / $270.19 / $270.19	Facility	80	$270.19	$270.19	$270.19
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $229.66 / $229.66 / $229.66	Facility	AS	$229.66	$229.66	$229.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $6,234.89 / $7,536.06	Facility		$4,389.68	$6,234.89	$7,536.06
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