Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.32 / $2,747.00 / $7,920.26	Facility		$1,742.32	$2,747.00	$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 $1,400.64 / $1,839.16 / $2,254.91	Professional		$1,400.64	$1,839.16	$2,254.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $950.33 / $1,574.59 / $2,421.37	Facility		$950.33	$1,574.59	$2,421.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,151.40 / $1,691.75 / $1,797.61	Facility		$1,151.40	$1,691.75	$1,797.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,018.35 / $1,774.47 / $2,421.37	Facility		$1,018.35	$1,774.47	$2,421.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,560.55 / $4,560.55 / $4,560.55	Facility		$4,560.55	$4,560.55	$4,560.55
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