Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,317.64 / $16,218.10	Facility		$1,445.44	$8,317.64	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,778.28	Professional		$1,096.48	$1,445.44	$1,778.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,344.23	Facility		$707.95	$1,148.15	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,479.11	Facility		$1,047.13	$1,380.38	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,584.89	Facility		$691.83	$1,071.52	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78