Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.10 / $7,920.26 / $13,746.00	Facility		$1,267.10	$7,920.26	$13,746.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,212.14 / $1,420.23 / $1,703.87	Professional		$1,212.14	$1,420.23	$1,703.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $873.63 / $1,242.72 / $1,708.97	Facility		$873.63	$1,242.72	$1,708.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $879.98 / $1,199.97 / $1,299.80	Facility		$879.98	$1,199.97	$1,299.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.14 / $1,347.79 / $5,949.00	Facility		$898.14	$1,347.79	$5,949.00
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 / $25,015.00	Facility		$2,155.00	$12,835.00	$25,015.00