Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.54 / $17,188.47 / $21,735.00	Facility		$2,202.54	$17,188.47	$21,735.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $8,429.35	Facility		$4,375.60	$4,375.60	$8,429.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,765.36 / $2,318.08 / $2,843.79	Professional		$1,765.36	$2,318.08	$2,843.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.85 / $1,745.60 / $3,041.52	Facility		$1,176.85	$1,745.60	$3,041.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,369.09 / $2,121.89 / $2,254.55	Facility		$1,369.09	$2,121.89	$2,254.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,191.44 / $1,991.39 / $3,567.90	Facility		$1,191.44	$1,991.39	$3,567.90
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $428.61 / $428.61 / $428.61	Facility	80	$428.61	$428.61	$428.61
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $364.32 / $364.32 / $364.32	Facility	AS	$364.32	$364.32	$364.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,624.30 / $18,659.50 / $38,534.69	Facility		$13,624.30	$18,659.50	$38,534.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $17,375.00 / $26,255.00	Facility		$2,800.00	$17,375.00	$26,255.00