Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.60 / $7,074.00 / $20,400.00	Facility		$987.60	$7,074.00	$20,400.00
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 $942.17 / $1,103.58 / $1,323.99	Professional		$942.17	$1,103.58	$1,323.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $658.78 / $910.08 / $1,201.05	Facility		$658.78	$910.08	$1,201.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.66 / $935.32 / $1,012.37	Facility		$682.66	$935.32	$1,012.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.55 / $992.08 / $5,217.00	Facility		$686.55	$992.08	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,365.28	Facility		$3,820.30	$4,901.89	$6,365.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00