Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.10 / $7,824.43 / $13,320.00	Facility		$907.10	$7,824.43	$13,320.00
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 $781.36 / $918.30 / $1,101.70	Professional		$781.36	$918.30	$1,101.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.58 / $749.52 / $983.45	Facility		$576.58	$749.52	$983.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.60 / $770.88 / $837.50	Facility		$559.60	$770.88	$837.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.58 / $822.71 / $5,217.00	Facility		$576.58	$822.71	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00