Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,901.21 / $3,525.43 / $7,920.26	Facility		$2,901.21	$3,525.43	$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 $2,298.94 / $3,018.72 / $3,695.34	Professional		$2,298.94	$3,018.72	$3,695.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,580.64 / $2,591.53 / $4,024.51	Facility		$1,580.64	$2,591.53	$4,024.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,929.34 / $2,800.52 / $2,899.76	Facility		$1,929.34	$2,800.52	$2,899.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,664.70 / $2,928.80 / $4,024.51	Facility		$1,664.70	$2,928.80	$4,024.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,499.18 / $7,499.18 / $7,499.18	Facility		$7,499.18	$7,499.18	$7,499.18
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