Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.80 / $4,704.00 / $8,728.00	Facility		$335.80	$4,704.00	$8,728.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.63 / $2,059.63 / $7,316.78	Facility		$2,059.63	$2,059.63	$7,316.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $319.30 / $390.32	Professional		$243.17	$319.30	$390.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.31 / $250.27 / $499.96	Facility		$157.31	$250.27	$499.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.96 / $296.20 / $305.32	Facility		$219.96	$296.20	$305.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $326.98 / $499.96	Facility		$165.36	$326.98	$499.96
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 $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00