Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.51 / $3,362.52 / $8,728.00	Facility		$247.51	$3,362.52	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.71 / $842.71 / $1,937.44	Facility		$842.71	$842.71	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.47 / $257.99 / $316.14	Professional		$196.47	$257.99	$316.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.12 / $256.00 / $401.75	Facility		$146.12	$256.00	$401.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.36 / $239.35 / $292.13	Facility		$176.36	$239.35	$292.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $302.95 / $432.26	Facility		$162.58	$302.95	$432.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,153.07 / $2,975.12 / $3,619.70	Facility		$2,153.07	$2,975.12	$3,619.70
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