Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.38 / $2,184.00 / $15,341.00	Facility		$422.38	$2,184.00	$15,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,089.75 / $1,089.75 / $2,310.00	Facility		$1,089.75	$1,089.75	$2,310.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $580.94 / $1,468.46	Professional		$395.41	$580.94	$1,468.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.89 / $683.49 / $1,627.75	Facility		$317.89	$683.49	$1,627.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.05 / $1,118.08 / $1,264.29	Facility		$465.05	$1,118.08	$1,264.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.89 / $954.78 / $1,688.49	Facility		$317.89	$954.78	$1,688.49
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