Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,762.47 / $13,803.84	Facility		$1,174.90	$7,762.47	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,884.03	Facility		$2,041.74	$2,041.74	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,412.54	Professional		$851.14	$1,174.90	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $1,412.54	Facility		$588.84	$831.76	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,202.26	Facility		$851.14	$1,148.15	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $1,380.38	Facility		$562.34	$831.76	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $12,022.64 / $14,791.08	Facility		$8,709.64	$12,022.64	$14,791.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,882.50 / $25,118.86	Facility		$1,995.26	$12,882.50	$25,118.86