Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.38 / $9,972.00 / $16,829.49	Facility		$2,243.38	$9,972.00	$16,829.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.08 / $2,344.07 / $2,604.52	Professional		$1,122.08	$2,344.07	$2,604.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,163.66 / $1,811.21 / $3,409.91	Facility		$1,163.66	$1,811.21	$3,409.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,556.21 / $2,141.98 / $2,416.02	Facility		$1,556.21	$2,141.98	$2,416.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,319.21 / $2,608.14 / $8,747.00	Facility		$1,319.21	$2,608.14	$8,747.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $417.30 / $417.30 / $417.30	Facility	80	$417.30	$417.30	$417.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,762.34 / $13,653.30 / $16,115.95	Facility		$10,762.34	$13,653.30	$16,115.95
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