Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.09 / $2,747.00 / $8,728.00	Facility		$374.09	$2,747.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $1,937.44	Facility		$1,089.75	$1,089.75	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $470.52 / $999.63	Professional		$320.25	$470.52	$999.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $258.27 / $511.86 / $1,046.55	Facility		$258.27	$511.86	$1,046.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.25 / $738.19 / $826.11	Facility		$369.25	$738.19	$826.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.27 / $584.74 / $1,118.34	Facility		$258.27	$584.74	$1,118.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,730.83 / $4,417.60	Facility		$2,830.49	$3,730.83	$4,417.60
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