Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.63 / $7,920.26 / $30,593.00	Facility		$3,890.63	$7,920.26	$30,593.00
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 $3,076.47 / $4,039.69 / $4,946.68	Professional		$3,076.47	$4,039.69	$4,946.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,117.12 / $3,719.54 / $5,463.82	Facility		$2,117.12	$3,719.54	$5,463.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,777.64 / $3,747.70 / $3,899.40	Facility		$2,777.64	$3,747.70	$3,899.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.31 / $4,034.71 / $5,463.82	Facility		$1,905.31	$4,034.71	$5,463.82
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $741.20 / $741.20 / $741.20	Facility	80	$741.20	$741.20	$741.20
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $630.02 / $630.02 / $630.02	Facility	AS	$630.02	$630.02	$630.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,173.39 / $10,173.39 / $10,173.39	Facility		$10,173.39	$10,173.39	$10,173.39
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