Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,047.13 / $13,182.57	Facility		$812.83	$1,047.13	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $977.24	Professional		$630.96	$851.14	$977.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $1,318.26	Facility		$398.11	$630.96	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $831.76	Facility		$630.96	$794.33	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,000.00	Facility		$407.38	$645.65	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50