Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $7,943.28	Facility		$1,230.27	$3,235.94	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,398.83	Facility		$2,344.23	$2,344.23	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,513.56	Professional		$933.25	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,513.56	Facility		$602.56	$851.14	$1,513.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,258.93	Facility		$977.24	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,479.11	Facility		$588.84	$891.25	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,964.78	Facility		$6,606.93	$8,912.51	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,120.11 / $12,882.50	Facility		$1,621.81	$9,120.11	$12,882.50