Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.69 / $2,902.05 / $7,920.26	Facility		$2,366.69	$2,902.05	$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 $1,891.66 / $2,483.92 / $3,042.90	Professional		$1,891.66	$2,483.92	$3,042.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,274.69 / $2,132.41 / $3,294.21	Facility		$1,274.69	$2,132.41	$3,294.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,568.25 / $2,302.79 / $2,408.65	Facility		$1,568.25	$2,302.79	$2,408.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.82 / $2,415.71 / $3,294.21	Facility		$1,330.82	$2,415.71	$3,294.21
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $458.29 / $458.29 / $458.29	Facility	80	$458.29	$458.29	$458.29
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $389.54 / $389.54 / $389.54	Facility	AS	$389.54	$389.54	$389.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,182.46 / $6,182.46 / $6,182.46	Facility		$6,182.46	$6,182.46	$6,182.46
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