Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.52 / $7,074.00 / $20,400.00	Facility		$1,303.52	$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 $1,215.99 / $1,444.88 / $1,733.45	Professional		$1,215.99	$1,444.88	$1,733.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.05 / $1,129.22 / $1,454.23	Facility		$801.05	$1,129.22	$1,454.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $803.13 / $1,133.64 / $1,315.21	Facility		$803.13	$1,133.64	$1,315.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $1,233.83 / $5,217.00	Facility		$842.00	$1,233.83	$5,217.00
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