Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,141.41 / $3,848.05 / $7,920.26	Facility		$3,141.41	$3,848.05	$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 $2,507.15 / $3,292.11 / $4,029.50	Professional		$2,507.15	$3,292.11	$4,029.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.95 / $2,826.25 / $4,341.06	Facility		$1,621.95	$2,826.25	$4,341.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,981.87 / $3,035.77 / $3,201.93	Facility		$1,981.87	$3,035.77	$3,201.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,713.50 / $3,198.13 / $4,341.06	Facility		$1,713.50	$3,198.13	$4,341.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $609.64 / $609.64 / $609.64	Facility	80	$609.64	$609.64	$609.64
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $518.19 / $518.19 / $518.19	Facility	AS	$518.19	$518.19	$518.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,187.69 / $8,187.69 / $8,187.69	Facility		$8,187.69	$8,187.69	$8,187.69
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