Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.38 / $3,121.93 / $3,750.00	Facility		$2,144.38	$3,121.93	$3,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $2,495.00 / $3,920.00	Facility		$1,400.00	$2,495.00	$3,920.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,627.76 / $6,266.44	Facility		$200.00	$1,627.76	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.00 / $1,760.00 / $2,726.00	Facility		$1,445.00	$1,760.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $1,350.00 / $1,667.42	Facility		$700.00	$1,350.00	$1,667.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.00 / $3,951.00 / $31,540.28	Facility		$1,659.00	$3,951.00	$31,540.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $1,550.00 / $1,597.00	Facility		$1,550.00	$1,550.00	$1,597.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,685.00 / $3,872.00	Facility		$1,084.00	$1,685.00	$3,872.00