Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.86 / $3,213.00 / $8,728.00	Facility		$124.86	$3,213.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $866.68 / $866.68 / $1,937.44	Facility		$866.68	$866.68	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $178.00 / $490.54	Professional		$110.37	$178.00	$490.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $150.96 / $490.23	Facility		$85.46	$150.96	$490.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.55 / $323.25 / $395.97	Facility		$110.55	$323.25	$395.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $183.74 / $680.93	Facility		$85.46	$183.74	$680.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,215.19 / $2,955.33 / $3,590.10	Facility		$2,215.19	$2,955.33	$3,590.10
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