Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,290.97 / $4,015.41 / $7,920.26	Facility		$3,290.97	$4,015.41	$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 $2,615.60 / $3,434.52 / $4,199.64	Professional		$2,615.60	$3,434.52	$4,199.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.34 / $3,100.47 / $4,540.07	Facility		$1,819.34	$3,100.47	$4,540.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,326.57 / $3,173.79 / $3,356.70	Facility		$2,326.57	$3,173.79	$3,356.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,879.11 / $3,376.72 / $4,540.07	Facility		$1,879.11	$3,376.72	$4,540.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,563.92 / $8,563.92 / $8,563.92	Facility		$8,563.92	$8,563.92	$8,563.92
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