Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.58 / $5,649.00 / $15,341.00	Facility		$764.58	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $595.50 / $595.50	Facility		$595.50	$595.50	$595.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.09 / $956.49 / $4,811.51	Professional		$701.09	$956.49	$4,811.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $461.69 / $2,017.05 / $5,404.96	Facility		$461.69	$2,017.05	$5,404.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.67 / $3,782.58 / $4,314.80	Facility		$748.67	$3,782.58	$4,314.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.13 / $2,162.71 / $5,353.29	Facility		$462.13	$2,162.71	$5,353.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,954.82 / $17,563.07 / $20,571.93	Facility		$12,954.82	$17,563.07	$20,571.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,612.00 / $18,628.00 / $26,255.00	Facility		$7,612.00	$18,628.00	$26,255.00