Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,318.26 / $13,182.57	Facility		$977.24	$1,318.26	$13,182.57
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 $831.76 / $1,071.52 / $1,288.25	Professional		$831.76	$1,071.52	$1,288.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,148.15	Facility		$489.78	$776.25	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $1,000.00	Facility		$616.60	$870.96	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $1,071.52	Facility		$489.78	$758.58	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,302.69	Facility		$6,309.57	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38