Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $7,943.28	Facility		$630.96	$1,047.13	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,023.29	Professional		$562.34	$776.25	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,023.29	Facility		$407.38	$602.56	$1,023.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $851.14	Facility		$602.56	$812.83	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $977.24	Facility		$380.19	$602.56	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,760.83 / $12,022.64	Facility		$1,621.81	$6,760.83	$12,022.64