Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.11 / $2,747.00 / $13,320.00	Facility		$1,082.11	$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 $982.70 / $1,250.73 / $1,486.31	Professional		$982.70	$1,250.73	$1,486.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $609.16 / $969.51 / $1,411.00	Facility		$609.16	$969.51	$1,411.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $734.62 / $1,128.46 / $1,248.21	Facility		$734.62	$1,128.46	$1,248.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $634.38 / $1,004.11 / $1,642.01	Facility		$634.38	$1,004.11	$1,642.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,573.85 / $5,897.44 / $7,222.39	Facility		$4,573.85	$5,897.44	$7,222.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00