Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,511.29 / $7,920.26 / $20,400.00	Facility		$1,511.29	$7,920.26	$20,400.00
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 $1,280.20 / $1,499.53 / $1,799.00	Professional		$1,280.20	$1,499.53	$1,799.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $909.35 / $1,244.33 / $1,646.45	Facility		$909.35	$1,244.33	$1,646.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,283.15 / $1,380.87	Facility		$945.74	$1,283.15	$1,380.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $913.00 / $1,364.03 / $5,217.00	Facility		$913.00	$1,364.03	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
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