Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.46 / $7,920.26 / $32,689.00	Facility		$1,377.46	$7,920.26	$32,689.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,901.32 / $2,901.32 / $4,375.60	Facility		$2,901.32	$2,901.32	$4,375.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.80 / $1,319.39 / $1,621.83	Professional		$1,004.80	$1,319.39	$1,621.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $687.26 / $1,132.74 / $1,727.17	Facility		$687.26	$1,132.74	$1,727.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.29 / $1,201.31 / $1,279.70	Facility		$831.29	$1,201.31	$1,279.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $768.45 / $1,276.08 / $2,200.63	Facility		$768.45	$1,276.08	$2,200.63
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $243.47 / $243.47 / $243.47	Facility	80	$243.47	$243.47	$243.47
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $206.95 / $206.95 / $206.95	Facility	AS	$206.95	$206.95	$206.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,763.99 / $12,680.11 / $13,092.93	Facility		$8,763.99	$12,680.11	$13,092.93
United Facility/Professional Facility Modifier Low / Median / High Price $789.46 / $12,835.00 / $25,015.00	Facility		$789.46	$12,835.00	$25,015.00