Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $9,120.11 / $18,620.87	Facility		$1,202.26	$9,120.11	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,479.11	Professional		$933.25	$1,230.27	$1,479.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $1,949.84	Facility		$575.44	$912.01	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,230.27	Facility		$831.76	$1,148.15	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $891.25 / $1,318.26	Facility		$575.44	$891.25	$1,318.26
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 $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38