Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $8,709.64	Facility		$724.44	$1,202.26	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $5,011.87	Facility		$2,290.87	$2,290.87	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,148.15	Professional		$616.60	$831.76	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $588.84 / $1,047.13	Facility		$380.19	$588.84	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $954.99	Facility		$630.96	$870.96	$954.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $588.84 / $1,000.00	Facility		$371.54	$588.84	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $22,387.21	Facility		$13,803.84	$18,620.87	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $22,387.21	Facility		$1,621.81	$9,549.93	$22,387.21