Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.69 / $11,585.78 / $18,977.96	Facility		$953.69	$11,585.78	$18,977.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.03 / $1,074.78 / $1,289.43	Professional		$913.03	$1,074.78	$1,289.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.10 / $856.08 / $1,144.09	Facility		$627.10	$856.08	$1,144.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $647.03 / $898.47 / $980.21	Facility		$647.03	$898.47	$980.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.52 / $955.57 / $8,647.00	Facility		$647.52	$955.57	$8,647.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $9,638.43 / $12,117.15	Facility		$7,715.78	$9,638.43	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00