Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,071.52 / $13,182.57	Facility		$645.65	$1,071.52	$13,182.57
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 $575.44 / $794.33 / $1,148.15	Professional		$575.44	$794.33	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,071.52	Facility		$389.05	$645.65	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $954.99	Facility		$691.83	$933.25	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,023.29	Facility		$389.05	$645.65	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,125.38	Facility		$1,995.26	$10,000.00	$14,125.38