Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.28 / $7,920.26 / $20,400.00	Facility		$1,358.28	$7,920.26	$20,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.00 / $691.00 / $691.00	Facility		$691.00	$691.00	$691.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.22 / $1,504.82 / $1,672.02	Professional		$721.22	$1,504.82	$1,672.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $747.04 / $1,159.52 / $2,049.28	Facility		$747.04	$1,159.52	$2,049.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $994.68 / $1,370.15 / $1,449.21	Facility		$994.68	$1,370.15	$1,449.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.55 / $1,671.85 / $6,437.00	Facility		$847.55	$1,671.85	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,181.83 / $10,416.65 / $13,121.76	Facility	50	$8,181.83	$10,416.65	$13,121.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,113.00	Facility		$1,981.00	$9,074.00	$12,113.00