Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,943.28 / $15,848.93	Facility		$1,288.25	$7,943.28	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,548.82	Professional		$933.25	$1,288.25	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $1,621.81	Facility		$645.65	$870.96	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,318.26	Facility		$1,071.52	$1,258.93	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $933.25 / $1,548.82	Facility		$616.60	$933.25	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $18,197.01 / $21,877.62	Facility		$13,489.63	$18,197.01	$21,877.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $18,620.87 / $26,302.68	Facility		$2,818.38	$18,620.87	$26,302.68