Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $7,920.26 / $20,400.00	Facility		$1,758.00	$7,920.26	$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 $1,585.74 / $1,864.90 / $2,228.37	Professional		$1,585.74	$1,864.90	$2,228.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,100.46 / $1,565.61 / $2,153.90	Facility		$1,100.46	$1,565.61	$2,153.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,228.21 / $1,663.61 / $1,727.93	Facility		$1,228.21	$1,663.61	$1,727.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,158.38 / $1,656.48 / $5,217.00	Facility		$1,158.38	$1,656.48	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00