Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.82 / $10,180.24 / $42,921.00	Facility		$581.82	$10,180.24	$42,921.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,375.60 / $4,375.60 / $7,591.95	Facility		$4,375.60	$4,375.60	$7,591.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.56 / $552.24 / $675.31	Professional		$420.56	$552.24	$675.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.30 / $512.66 / $788.61	Facility		$293.30	$512.66	$788.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.85 / $512.33 / $544.71	Facility		$379.85	$512.33	$544.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $328.03 / $610.91 / $906.76	Facility		$328.03	$610.91	$906.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,475.25 / $17,909.58 / $21,335.22	Facility		$13,475.25	$17,909.58	$21,335.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $11,770.00 / $26,404.00	Facility		$1,895.00	$11,770.00	$26,404.00