Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $15,848.93	Facility		$2,238.72	$2,818.38	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,630.27	Professional		$1,584.89	$2,187.76	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,630.27	Facility		$1,096.48	$1,513.56	$2,630.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,290.87	Facility		$1,584.89	$2,137.96	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,570.40	Facility		$1,047.13	$1,513.56	$2,570.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,585.78 / $31,622.78	Facility		$1,412.54	$7,585.78	$31,622.78