Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,445.44 / $7,943.28	Facility		$812.83	$1,445.44	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,380.38	Professional		$870.96	$1,174.90	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,412.54	Facility		$588.84	$1,023.29	$1,412.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,174.90	Facility		$977.24	$1,122.02	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $1,380.38	Facility		$588.84	$954.99	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $26,915.35	Facility		$6,918.31	$16,595.87	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $17,378.01 / $26,302.68	Facility		$3,019.95	$17,378.01	$26,302.68