Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.26 / $7,920.26 / $20,400.00	Facility		$1,361.26	$7,920.26	$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 $1,131.33 / $1,347.00 / $1,616.02	Professional		$1,131.33	$1,347.00	$1,616.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $757.29 / $1,096.16 / $1,374.45	Facility		$757.29	$1,096.16	$1,374.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $770.84 / $1,065.97 / $1,226.77	Facility		$770.84	$1,065.97	$1,226.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $837.03 / $1,166.88 / $5,217.00	Facility		$837.03	$1,166.88	$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