Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,962.04 / $7,920.26	Facility		$2,747.00	$4,962.04	$7,920.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,724.79 / $4,383.60 / $5,234.27	Professional		$3,724.79	$4,383.60	$5,234.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,575.30 / $3,650.56 / $4,963.68	Facility		$2,575.30	$3,650.56	$4,963.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,927.35 / $3,944.96 / $4,228.37	Facility		$2,927.35	$3,944.96	$4,228.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,575.30 / $3,661.78 / $5,381.15	Facility		$2,575.30	$3,661.78	$5,381.15
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $672.39 / $672.39 / $672.39	Facility	AS	$672.39	$672.39	$672.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,766.11 / $10,766.11 / $10,766.11	Facility		$10,766.11	$10,766.11	$10,766.11
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