Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.73 / $5,649.00 / $15,341.00	Facility		$396.73	$5,649.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.79 / $1,487.79 / $2,310.00	Facility		$1,487.79	$1,487.79	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.41 / $377.39 / $461.43	Professional		$287.41	$377.39	$461.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.44 / $351.90 / $546.10	Facility		$204.44	$351.90	$546.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $350.12 / $373.19	Facility		$265.08	$350.12	$373.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.81 / $419.72 / $619.87	Facility		$225.81	$419.72	$619.87
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