Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,090.58 / $7,920.26	Facility		$2,747.00	$4,090.58	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,067.06 / $3,610.49 / $4,310.00	Professional		$3,067.06	$3,610.49	$4,310.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,232.57 / $3,058.62 / $4,724.26	Facility		$2,232.57	$3,058.62	$4,724.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,412.33 / $3,249.20 / $3,427.72	Facility		$2,412.33	$3,249.20	$3,427.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,232.57 / $3,142.08 / $4,362.58	Facility		$2,232.57	$3,142.08	$4,362.58
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $646.90 / $646.90 / $646.90	Facility	80	$646.90	$646.90	$646.90
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $549.86 / $549.86 / $549.86	Facility	AS	$549.86	$549.86	$549.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,924.49 / $8,851.37 / $18,894.75	Facility		$3,924.49	$8,851.37	$18,894.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00