Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.01 / $4,684.68 / $8,728.00	Facility		$779.01	$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 $675.64 / $797.09 / $956.28	Professional		$675.64	$797.09	$956.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.50 / $632.61 / $836.40	Facility		$430.50	$632.61	$836.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.78 / $657.94 / $718.91	Facility		$475.78	$657.94	$718.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.56 / $654.72 / $904.44	Facility		$455.56	$654.72	$904.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,364.17 / $9,638.43 / $12,117.15	Facility		$6,364.17	$9,638.43	$12,117.15
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