Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $6,606.93	Facility		$691.83	$1,380.38	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,445.44	Professional		$602.56	$891.25	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,318.26	Facility		$371.54	$707.95	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,148.15	Facility		$741.31	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $676.08 / $1,202.26	Facility		$371.54	$676.08	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,570.88 / $6,165.95	Facility		$1,737.80	$4,570.88	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10