Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $13,803.84	Facility		$1,230.27	$1,621.81	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,513.56	Professional		$933.25	$1,258.93	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Facility		$616.60	$977.24	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,258.93	Facility		$1,000.00	$1,174.90	$1,258.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $977.24 / $1,412.54	Facility		$630.96	$977.24	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68