Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.10 / $2,747.00 / $13,320.00	Facility		$812.10	$2,747.00	$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 $863.15 / $1,013.34 / $1,212.95	Professional		$863.15	$1,013.34	$1,212.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $660.25 / $894.93 / $1,167.90	Facility		$660.25	$894.93	$1,167.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.73 / $897.80 / $940.01	Facility		$664.73	$897.80	$940.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.25 / $944.16 / $5,217.00	Facility		$660.25	$944.16	$5,217.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,715.78 / $10,171.54 / $12,117.15	Facility		$7,715.78	$10,171.54	$12,117.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00