Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.25 / $5,116.62 / $12,076.58	Facility		$374.25	$5,116.62	$12,076.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,341.30	Facility		$1,487.79	$1,487.79	$2,341.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $356.79 / $438.30	Professional		$271.70	$356.79	$438.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.78 / $278.91 / $545.13	Facility		$175.78	$278.91	$545.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $325.62 / $341.03	Facility		$237.96	$325.62	$341.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.68 / $361.05 / $545.13	Facility		$182.68	$361.05	$545.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $5,130.00 / $7,233.00	Facility		$1,472.00	$5,130.00	$7,233.00