Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.97 / $4,684.68 / $8,728.00	Facility		$1,262.97	$4,684.68	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.17 / $1,408.57 / $1,689.88	Professional		$1,185.17	$1,408.57	$1,689.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $780.89 / $1,116.11 / $1,411.71	Facility		$780.89	$1,116.11	$1,411.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.49 / $1,099.47 / $1,284.39	Facility		$793.49	$1,099.47	$1,284.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $796.19 / $1,198.27 / $2,450.00	Facility		$796.19	$1,198.27	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
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