Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $13,182.57	Facility		$831.76	$1,096.48	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,047.13	Professional		$676.08	$891.25	$1,047.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $1,047.13	Facility		$426.58	$660.69	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $851.14	Facility		$691.83	$812.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $977.24	Facility		$426.58	$676.08	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $31,622.78	Facility		$2,137.96	$13,182.57	$31,622.78