Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.03 / $5,649.00 / $15,341.00	Facility		$1,658.03	$5,649.00	$15,341.00
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 $1,325.72 / $1,740.79 / $2,133.63	Professional		$1,325.72	$1,740.79	$2,133.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $905.59 / $1,494.46 / $2,305.67	Facility		$905.59	$1,494.46	$2,305.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,030.51 / $1,608.67 / $1,695.10	Facility		$1,030.51	$1,608.67	$1,695.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.74 / $1,695.79 / $2,305.67	Facility		$942.74	$1,695.79	$2,305.67
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $322.61 / $322.61 / $322.61	Facility	80	$322.61	$322.61	$322.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $274.22 / $274.22 / $274.22	Facility	AS	$274.22	$274.22	$274.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,575.69 / $5,552.86 / $6,547.86	Facility		$3,575.69	$5,552.86	$6,547.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00