Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.50 / $4,962.67 / $15,341.00	Facility		$1,888.50	$4,962.67	$15,341.00
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 $1,747.38 / $2,056.03 / $2,455.52	Professional		$1,747.38	$2,056.03	$2,455.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $901.66 / $1,587.61 / $2,327.30	Facility		$901.66	$1,587.61	$2,327.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,108.31 / $1,841.16 / $1,934.96	Facility		$1,108.31	$1,841.16	$1,934.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $901.20 / $1,712.44 / $2,452.44	Facility		$901.20	$1,712.44	$2,452.44
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