Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.51 / $4,704.00 / $8,728.00	Facility		$943.51	$4,704.00	$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 $689.06 / $904.80 / $1,118.10	Professional		$689.06	$904.80	$1,118.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.27 / $773.40 / $1,160.70	Facility		$434.27	$773.40	$1,160.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $569.16 / $815.39 / $867.65	Facility		$569.16	$815.39	$867.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.31 / $859.48 / $1,385.68	Facility		$456.31	$859.48	$1,385.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,830.49 / $3,876.82 / $4,673.63	Facility		$2,830.49	$3,876.82	$4,673.63
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