Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $13,803.84	Facility		$1,737.80	$2,238.72	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,089.30	Professional		$1,230.27	$1,659.59	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,137.96	Facility		$851.14	$1,348.96	$2,137.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $1,737.80	Facility		$1,318.26	$1,698.24	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $1,949.84	Facility		$870.96	$1,348.96	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $25,703.96	Facility		$2,884.03	$17,782.79	$25,703.96