Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $5,498.53 / $7,920.26	Facility		$2,747.00	$5,498.53	$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 $4,619.46 / $5,441.01 / $6,491.51	Professional		$4,619.46	$5,441.01	$6,491.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,317.54 / $4,555.38 / $6,198.20	Facility		$3,317.54	$4,555.38	$6,198.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,644.41 / $4,896.54 / $5,240.07	Facility		$3,644.41	$4,896.54	$5,240.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,317.54 / $4,558.83 / $6,697.47	Facility		$3,317.54	$4,558.83	$6,697.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,484.68 / $13,484.68 / $13,484.68	Facility		$13,484.68	$13,484.68	$13,484.68
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