Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.84 / $4,962.67 / $15,341.00	Facility		$1,125.84	$4,962.67	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.51 / $1,112.18 / $1,334.30	Professional		$949.51	$1,112.18	$1,334.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $669.33 / $923.80 / $1,245.25	Facility		$669.33	$923.80	$1,245.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.73 / $975.52 / $1,037.16	Facility		$711.73	$975.52	$1,037.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.17 / $1,009.42 / $2,919.00	Facility		$676.17	$1,009.42	$2,919.00
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 $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00