Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.84 / $3,523.13 / $8,728.00	Facility		$1,647.84	$3,523.13	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,567.51 / $1,836.06 / $2,202.75	Professional		$1,567.51	$1,836.06	$2,202.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.89 / $1,524.58 / $2,139.98	Facility		$1,117.89	$1,524.58	$2,139.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.08 / $1,605.41 / $1,741.33	Facility		$1,141.08	$1,605.41	$1,741.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,117.89 / $1,591.06 / $2,198.44	Facility		$1,117.89	$1,591.06	$2,198.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $275.52 / $275.52 / $275.52	Facility	AS	$275.52	$275.52	$275.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,859.35 / $10,847.34 / $13,475.61	Facility		$8,859.35	$10,847.34	$13,475.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00