Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.37 / $2,747.00 / $13,320.00	Facility		$332.37	$2,747.00	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $397.79 / $732.56	Professional		$314.39	$397.79	$732.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $408.93 / $667.00	Facility		$210.45	$408.93	$667.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.48 / $539.72 / $613.04	Facility		$297.48	$539.72	$613.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $449.19 / $842.00	Facility		$210.45	$449.19	$842.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00