Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,128.61 / $13,182.57	Facility		$794.33	$5,128.61	$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 / $1,122.02 / $1,348.96	Professional		$851.14	$1,122.02	$1,348.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $1,949.84	Facility		$562.34	$954.99	$1,949.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,148.15	Facility		$933.25	$1,096.48	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $1,348.96	Facility		$562.34	$912.01	$1,348.96
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 $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68