Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,038.53 / $9,972.00 / $20,400.00	Facility		$3,038.53	$9,972.00	$20,400.00
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 $1,527.84 / $3,173.42 / $3,526.02	Professional		$1,527.84	$3,173.42	$3,526.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,527.84 / $2,368.15 / $3,953.24	Facility		$1,527.84	$2,368.15	$3,953.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,829.10 / $2,662.58 / $3,048.50	Facility		$1,829.10	$2,662.58	$3,048.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,704.10 / $3,361.50 / $8,747.00	Facility		$1,704.10	$3,361.50	$8,747.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,813.93 / $11,944.47 / $14,473.89	Facility		$8,813.93	$11,944.47	$14,473.89
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