Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.61 / $3,213.00 / $8,728.00	Facility		$1,265.61	$3,213.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.74 / $1,412.31 / $1,694.37	Professional		$1,205.74	$1,412.31	$1,694.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $833.83 / $1,157.04 / $1,522.35	Facility		$833.83	$1,157.04	$1,522.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $847.12 / $1,193.27 / $1,300.47	Facility		$847.12	$1,193.27	$1,300.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.07 / $1,254.20 / $2,450.00	Facility		$851.07	$1,254.20	$2,450.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
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