Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $13,182.57	Facility		$1,000.00	$1,698.24	$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 $851.14 / $1,148.15 / $1,659.59	Professional		$851.14	$1,148.15	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $2,290.87	Facility		$478.63	$954.99	$2,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,412.54	Facility		$1,000.00	$1,348.96	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,479.11	Facility		$537.03	$912.01	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $31,622.78	Facility		$3,019.95	$20,892.96	$31,622.78