Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,501.51 / $4,282.70 / $18,360.00	Facility		$3,501.51	$4,282.70	$18,360.00
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 $2,783.91 / $3,655.53 / $4,473.96	Professional		$2,783.91	$3,655.53	$4,473.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,879.37 / $3,163.40 / $4,933.45	Facility		$1,879.37	$3,163.40	$4,933.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,502.92 / $3,391.31 / $3,528.22	Facility		$2,502.92	$3,391.31	$3,528.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,919.73 / $3,601.99 / $4,933.45	Facility		$1,919.73	$3,601.99	$4,933.45
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $570.39 / $570.39 / $570.39	Facility	AS	$570.39	$570.39	$570.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,169.02 / $9,169.02 / $9,169.02	Facility		$9,169.02	$9,169.02	$9,169.02
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