Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.89 / $4,283.46 / $8,728.00	Facility		$770.89	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $5,022.74	Facility		$1,937.44	$1,937.44	$5,022.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.92 / $888.86 / $1,145.03	Professional		$663.92	$888.86	$1,145.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $442.33 / $746.29 / $1,163.83	Facility		$442.33	$746.29	$1,163.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $850.90 / $936.66	Facility		$523.00	$850.90	$936.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.55 / $774.39 / $1,243.69	Facility		$444.55	$774.39	$1,243.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,493.64 / $18,246.18 / $21,922.68	Facility		$13,493.64	$18,246.18	$21,922.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $8,090.00 / $12,786.00	Facility		$1,533.00	$8,090.00	$12,786.00