Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,440.84 / $5,116.62 / $20,400.00	Facility		$1,440.84	$5,116.62	$20,400.00
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 $1,192.60 / $1,417.42 / $1,675.91	Professional		$1,192.60	$1,417.42	$1,675.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $839.07 / $1,263.02 / $1,628.10	Facility		$839.07	$1,263.02	$1,628.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.33 / $1,275.58 / $1,366.80	Facility		$927.33	$1,275.58	$1,366.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.23 / $1,369.42 / $2,748.00	Facility		$883.23	$1,369.42	$2,748.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,439.04 / $22,566.02 / $25,992.15	Facility		$17,439.04	$22,566.02	$25,992.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00