Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.92 / $1,758.00 / $13,320.00	Facility		$946.92	$1,758.00	$13,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.94 / $1,112.45 / $1,428.91	Professional		$885.94	$1,112.45	$1,428.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $578.76 / $871.02 / $1,303.83	Facility		$578.76	$871.02	$1,303.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $702.17 / $1,084.06 / $1,194.60	Facility		$702.17	$1,084.06	$1,194.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $599.02 / $897.15 / $1,561.49	Facility		$599.02	$897.15	$1,561.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00