Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,084.03 / $3,754.88 / $7,920.26	Facility		$3,084.03	$3,754.88	$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 $2,449.15 / $3,215.96 / $3,935.00	Professional		$2,449.15	$3,215.96	$3,935.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,658.31 / $2,760.85 / $4,316.07	Facility		$1,658.31	$2,760.85	$4,316.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,034.04 / $2,983.50 / $3,121.53	Facility		$2,034.04	$2,983.50	$3,121.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,739.62 / $3,139.20 / $4,316.07	Facility		$1,739.62	$3,139.20	$4,316.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,106.06 / $8,106.06 / $8,106.06	Facility		$8,106.06	$8,106.06	$8,106.06
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