Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.60 / $4,283.46 / $8,728.00	Facility		$225.60	$4,283.46	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $1,937.44	Facility		$1,487.79	$1,487.79	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $285.73 / $637.72	Professional		$194.48	$285.73	$637.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $331.57 / $686.80	Facility		$154.22	$331.57	$686.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.20 / $466.12 / $525.64	Facility		$229.20	$466.12	$525.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $408.46 / $867.29	Facility		$154.22	$408.46	$867.29
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 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00