Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $7,943.28	Facility		$1,513.56	$1,949.84	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,819.70	Professional		$1,202.26	$1,548.82	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,737.80	Facility		$758.58	$1,174.90	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,513.56	Facility		$977.24	$1,380.38	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,659.59	Facility		$758.58	$1,148.15	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68