Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.94 / $3,213.00 / $8,728.00	Facility		$548.94	$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 $506.37 / $594.61 / $711.58	Professional		$506.37	$594.61	$711.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $385.73 / $536.45 / $784.91	Facility		$385.73	$536.45	$784.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.45 / $535.11 / $575.28	Facility		$392.45	$535.11	$575.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $385.73 / $577.36 / $2,450.00	Facility		$385.73	$577.36	$2,450.00
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 $1,981.00 / $9,529.00 / $12,786.00	Facility		$1,981.00	$9,529.00	$12,786.00