Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $7,943.28	Facility		$1,380.38	$2,754.23	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,570.40	Professional		$1,479.11	$1,995.26	$2,570.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,818.38	Facility		$1,047.13	$1,698.24	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,187.76	Facility		$1,659.59	$2,089.30	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,691.53	Facility		$1,047.13	$1,698.24	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $25,703.96	Facility		$15,488.17	$20,892.96	$25,703.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $38,018.94	Facility		$2,884.03	$17,782.79	$38,018.94