Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.84 / $4,684.68 / $8,728.00	Facility		$677.84	$4,684.68	$8,728.00
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 $562.72 / $667.13 / $790.77	Professional		$562.72	$667.13	$790.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.80 / $584.72 / $770.95	Facility		$426.80	$584.72	$770.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.88 / $600.37 / $644.54	Facility		$456.88	$600.37	$644.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.80 / $597.52 / $820.34	Facility		$426.80	$597.52	$820.34
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $121.54 / $121.54 / $121.54	Facility	80	$121.54	$121.54	$121.54
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $103.31	Facility	AS	$103.31	$103.31	$103.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,671.63 / $15,843.42 / $43,325.10	Facility		$1,671.63	$15,843.42	$43,325.10
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00