Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $4,326.13 / $7,920.26	Facility		$2,747.00	$4,326.13	$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 $3,243.21 / $3,814.09 / $4,557.53	Professional		$3,243.21	$3,814.09	$4,557.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,338.48 / $3,176.26 / $4,321.39	Facility		$2,338.48	$3,176.26	$4,321.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,548.46 / $3,432.42 / $3,670.26	Facility		$2,548.46	$3,432.42	$3,670.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,338.48 / $3,203.72 / $4,680.93	Facility		$2,338.48	$3,203.72	$4,680.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,924.49 / $9,355.32 / $18,894.75	Facility		$3,924.49	$9,355.32	$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